Name*
Current Mailing Address*
Are you an international student studying on a Visa?*
Do you reside on campus?*
Are you a member of the honors college?*
Are you withdrawing from the current semester?*
Term*
Do you plan to return to Westminster University?*
Term*
Reason(s) for Leave (check all that apply):*
Please provide a copy of military orders or documentation of religious service for leaves longer than 3 regular terms.
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