{"id":378,"date":"2025-05-23T18:19:48","date_gmt":"2025-05-23T18:19:48","guid":{"rendered":"https:\/\/www.indianatech.edu\/doctoral\/?page_id=378"},"modified":"2025-06-04T13:49:22","modified_gmt":"2025-06-04T13:49:22","slug":"leave-of-absence-request","status":"publish","type":"page","link":"https:\/\/www.indianatech.edu\/doctoral\/forms\/leave-of-absence-request\/","title":{"rendered":"Leave of Absence Request"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/doctoral\/wp-json\/wp\/v2\/pages\/378\/#gf_5' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_35\" class=\"gfield gfield--type-multipart_step gfield--input-type-multipart_step gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden immaterial\"  data-field-class=\"immaterial\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_35'>Steps<\/label>        <div class=\"ginput_container\" id=\"gf_login_container5\">\n            <input type=\"hidden\" id=\"input_5_35\" value=\"request\" name=\"input_35\" \/>\n            <input type=\"hidden\" id=\"input_5_35_2\" value=\"\" name=\"input_35.2\" \/>\n                            <p><\/p>\n                    <\/div>\n\n        <\/li><li id=\"field_5_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><h2 class=\"gsection_title\">Request<\/h2><\/li><li id=\"field_5_16\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" >A leave of absence from the university must be initiated by the student. The LOA process begins by completing this form, after which you will be contacted by the PhD Office to finalize your LOA.<\/li><li id=\"field_5_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_1'>Student Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_2'>Student ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_5_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_8'>Student Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_8' id='input_5_8' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_32\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' for='input_5_32'>Duration of absence<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_5_32' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='One session' >One session<\/option><option value='One semester' >One semester<\/option><option value='One academic year' >One academic year<\/option><option value='Permanently' >Permanently<\/option><\/select><\/div><\/li><li id=\"field_5_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_34'>Intended Date of Return<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_5_34' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_34\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_34'>Please review the <a target=\"_blank\" href=\"https:\/\/registrar.indianatech.edu\/calendars\/doctoral\/\">Doctoral Academic Calendar<\/a>, and indicate your intended session and date of return.<\/div><\/li><li id=\"field_5_33\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' for='input_5_33'>Reason for absence<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_5_33' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Academic' >Academic<\/option><option value='Financial' >Financial<\/option><option value='Medical' >Medical<\/option><option value='Personal' >Personal<\/option><option value='Military' >Military<\/option><\/select><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_10'>Last Date of Class Attendance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_30\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_30'>Please help us assess the quality of your experience here. If you would take a few moments to respond to the following, the information you provide may help us improve the Indiana Tech experience for future students. Is there anything else about your experience at Indiana Tech (positive or negative) that you think we should know about, which might improve the experience of future students?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_5_30' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_5\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_5'>Please use this space to make any comments regarding this LOA request.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_5_5' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_31\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_31'>Effective date of absence\/exit date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_31' id='input_5_31' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_31_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_31_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_31' class='gform_hidden' value='https:\/\/www.indianatech.edu\/doctoral\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >By checking this box I am acknowledging that I will be financially responsible for the implications of this absense based on the Ph.D. program&#039;s Leave of Absence Policy. I understand I can contact the Student Financial Services office with specific questions regarding the financial implications of my absence.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_21'><li class='gchoice gchoice_5_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='I understand.'  id='choice_5_21_1'   aria-describedby=\"gfield_description_5_21\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_21_1' id='label_5_21_1' class='gform-field-label gform-field-label--type-inline'>I understand.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_21'><a target=\"_blank\" href=\"https:\/\/phd.indianatech.edu\/loa-policy\/\">Ph.D. Leave of Absence Policy<\/a><\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_6'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_5_6' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_6\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_6'>By entering your first and last name, you confirm that the information you have entered is accurate.<\/div><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_7'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_5_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_7' class='gform_hidden' value='https:\/\/www.indianatech.edu\/doctoral\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><h2 class=\"gsection_title\">Response<\/h2><\/li><li id=\"field_5_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_38'>Your name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_5_38' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><label class='gfield_label gform-field-label' >How would you like to respond?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_39'>\n\t\t\t<li class='gchoice gchoice_5_39_0'>\n\t\t\t\t<input name='input_39' type='radio' value='Confirm'  id='choice_5_39_0'    \/>\n\t\t\t\t<label for='choice_5_39_0' id='label_5_39_0' class='gform-field-label gform-field-label--type-inline'>Confirm<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_39_1'>\n\t\t\t\t<input name='input_39' type='radio' value='Decline'  id='choice_5_39_1'    \/>\n\t\t\t\t<label for='choice_5_39_1' id='label_5_39_1' class='gform-field-label gform-field-label--type-inline'>Decline<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_39_2'>\n\t\t\t\t<input name='input_39' type='radio' value='More information needed'  id='choice_5_39_2'    \/>\n\t\t\t\t<label for='choice_5_39_2' id='label_5_39_2' class='gform-field-label gform-field-label--type-inline'>More information needed<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_39'>**If you select &#8220;More information requested&#8221;, note that you will need to eventually click the &#8220;Respond to this Request&#8221; link in the original request again in order to re-gain access to this form and provide your eventual response of Confirm or Decline.<\/div><\/li><li id=\"field_5_40\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible material-simple\"  data-field-class=\"material-simple\" ><label class='gfield_label gform-field-label' for='input_5_40'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_5_40' class='textarea large'  aria-describedby=\"gfield_description_5_40\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_40'>Comments will be received by both department staff AND the requesting student.<\/div><\/li><li id=\"field_5_41\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible immaterial\"  data-field-class=\"immaterial\" ><h2 class=\"gsection_title\">Provide More Information<\/h2><\/li><li id=\"field_5_43\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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