Withdrawal and Leave of Absence Forms

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http://www.bu.edu/academics/sdm/policies/withdrawal-leave-ofabsence-and-reinstatement/
Henry M. Goldman School of
Dental Medicine
Policies
Registration and Attendance
Withdrawal, Leave of
Absence, and Reinstatement
School of Dental Medicine Policy
All GSDM Students are registered automatically due to the continuous program
at Henry M. Goldman School of Dental Medicine (GSDM). A student who decides
not to attend, must take an official withdrawal or leave of absence. Withdrawals
are initiated when the student wishes to permanently leave the University.
Leaves of absence, however, are taken when the student wishes to leave the
University, but intends to return in a future semester. The withdrawal or leave of
absence is effective on the date the Withdrawal/Leave of Absence Form is
complete and received in the Office of the Registrar at GSDM in room G428.
Withdrawal and Leave of Absence Forms
You may obtain the form in Room G428 at the Dental School or download it by
clicking here.
The form requires the following signatures:
Student Signature
Predoctoral students: The Associate Dean of Academic Affairs & the
Registrar’s signature.
Postdoctoral students: The Associate Dean for Advanced Education or the
Department Chairperson/Director & the Registrar’s signature.
Leaves of absence and withdrawals will be processed only for the current or a
future semester. There can be no leaves of absence or withdrawals approved for
a past semester. Withdrawals and leaves of absence for medical reasons are not
exceptions to the University’s policy governing refunds unless the withdrawal or
leave of absence is approved prior to the first day of classes of the semester and
meets the effective date criteria.
A leave of absence for personal reasons is allowed. Students wishing to take a
leave of absence should meet with the appropriate school representative noted
above for approval. A leave of absence will be approved for one or two
semesters. A student on leave who wishes to return must inform the school in
writing at least six months before the beginning of the semester for which the
student is returning.
Health Insurance: If a student requests an LOA, their health insurance with the university
will automatically be cancelled unless they contact a representative who handles all
health insurance inquiries at insmed@bu.edu or at 617-353-2870 informing the
university that they want health coverage to continue.
Tuition Refund Schedule (Based on the SDM’s
Enrollment Dates)
The leave/withdrawal is effective on the date the Withdrawal/Leave of
Absence Form is received by the GSDM Registrar’s Office. All applicable
signatures are required.
Withdrawal prior to the first day of classes/first day of orientation (new
students): 100% tuition and applicable fees
Withdrawal during the first two weeks of classes: 80% tuition, 0% fees
Withdrawal during the third week of classes: 60% tuition, 0% fees
Withdrawal during the fourth week of classes: 40% tuition, 0% fees
Withdrawal during the fifth week of classes: 20% tuition, 0% fees
Withdrawal after the fifth week of classes: 0% tuition, 0% fees
New Students: The first day of orientation is considered the start of the
academic program/first day of class. Therefore, to receive a refund of 100% for
tuition and applicable fees (excluding nonrefundable tuition deposits), you must
withdraw in writing before the first day of orientation.
This schedule reflects refunds of tuition only. Charges for room, board, and other
University services will remain on the bill regardless of the student’s withdrawal
status. It is the student’s responsibility to contact the offices involved to
determine whether they are eligible for a pro-rated or other refund of those
charges.
There is no provision for refund of tuition in case of involuntary separation,
including disciplinary suspension or expulsion from the University. Whether or not
a refund is given, and at what percentage, is at the sole discretion of the
University, and refunds may be approved only by the President, Provost,
Executive Vice President, or Vice President for Enrollment.
Please note: Mere absence from classes does not reduce a student’s financial
obligation nor guarantee that a final grade will not be recorded. Once a student
has filed an official Withdrawal/Leave of Absence Form, the student’s account
will be adjusted based on the date of withdrawal.
International Students on F1 or J1 visa: You must contact the International
Students & Scholars Office (ISSO), at 617-353-3565 prior to requesting your
leave or withdrawal.
Financial Matters: A leave of absence or withdrawal may affect eligibility for
grants and loans. Please contact Student Financial Services at the medical
campus, A401, 617-638-5130, for more details. Recipients of financial assistance
may request a refund of any credit balance in writing through Student Financial
Services. All other students may request a refund in writing from Student
Accounting Services 617-353-2264.
Note that this information may change at any time.
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