I hereby request a Leave of Absence from Western Connecticut State University beginning the date indicated below. I understand that this does not relieve me of any financial obligations to the University. I have read and understand the University's refund policy as stated on the website at https://www.wcsu.edu/cashiers/refund/ I understand if I live on campus I am required to contact the Housing Office at 203.837.8531 to withdraw from housing. I understand a leave could affect my eligibility to receive or maintain financial aid. For more information, contact the Student Financial Services Office at 203.837.8580.