Leave of Absence (LOA) Request - Great Lakes Truck Driving School

Currently attending students should fill out this form to request a Leave of Absence (LOA) from training. A LOA is not meant to report an absence and should only be used if you will be missing 3 or more days for a reason that is outside of your control.

LOA Request

First Name*
Last Name*
LOA Request Start Date*
MM slash DD slash YYYY
LOA Requested Return Date*
MM slash DD slash YYYY
Reason for LOA*
Acknowledgement of LOA Policy*
I understand that regulations require that:
- This LOA must be approved, otherwise I will be considered absent.
- My request cannot be backdated unless there are mitigating circumstances such as hospitalization which prevented the request to be made sooner (proof of such circumstances must be obtained).
- I am allowed to take multiple leaves of absence.
- The total of all of my leave of absences may not exceed 180 days in any 12-month period.
- I will not incur any additional tuition charges during any LOA.
- I must return on the date stated above or I will be considered an unofficial drop.
- In the event that I do not return as scheduled, any refund due will be made to the appropriate financial aid programs within 45 days* of the date I was scheduled to return.
- Any request for an extension of LOA must be submitted by 11:59 PM of the day you were scheduled to return.

For Federal loan borrowers:
- If I do not return from my LOA, I understand that the period of my LOA will reduce any grace period of my loan(s).

Acceptable reasons for a leave of absence include a temporary situation beyond the student's control, such as personal or family illness, death of an immediate family member, military or jury duty, conflicts in work schedules, transportation problems, inability to obtain the CDL temporary permit, or waiting to begin orientation of the externship portion of training (if applicable).

Students taking an LOA for medical reasons must submit a doctor's excuse within 30 days of the start of LOA for approval and a doctor's release must be submitted to Student Records before returning to training.
Signature*
Date*
MM slash DD slash YYYY