Leave of Absence

Leave of Absence Form

Student Name:  



Date of Class Start:

Last Date of Attendance (Todays Date):


By digital signing this document you are agreeing to and understand the TMIKY Leave of Absence rules and regulations that have been laid out in the TMIKY Catalog. After submission this document will be sent to the proper channels for approval. Your TMIKY representative will reach out once approved. Please email us at [email protected] if more guidance is needed. 

Leave this empty:

Signature arrow sign here

Signature Certificate
Document name: Leave of Absence
lock iconUnique Document ID: 0e92d89c881cadc03d3280b9b16a096b25adecc2
Timestamp Audit
May 16, 2022 9:33 am EDTLeave of Absence Uploaded by Cassie Black - [email protected] IP
May 16, 2022 9:34 am EDTTMIKY Documents - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: