Cleveland State University Office of the Registrar
   CSU Home  |  University Registrar  |   FERPA  |  Contact CSU  |   A-Z Index  
Search
General Information
  • Academic Calendar
  • Off Campus Locations
    • Registration
  • Course Schedule
  • Web Registration Instructions
  • Add/Drop/Withdrawal Information
  • Guest Student Information
  • Undergraduate Non-Degree Information
  • Graduate Non-Degree Information
  • Undergraduate Transient Students
  • Graduate Transient Students
  • Undergraduate Visiting Students
  • Graduate Visiting Students
  • Undergraduate Cross Registration
  • Graduate Cross Registration
  • Grading Information
  • Undergraduate Students Taking Graduate Courses
  • Fee and Payment Information
  • Financial Aid
  • Downloadable Forms
    		•
    Procedures and Services
  • Ohio Residency
  • Transcript Request
  • Graduation Information
  • Returning from Leave of Absence
  • Enrollment/Degree Verification
  • Veteran Benefits
  • Parent Information
    		•
    Campus Resources
  • A-Z Index

    		•
    Return From Leave of Absence Form

    Students who interrupt their enrollment in the University for three or more consecutive semesters, including summer, are placed on a voluntary Leave of Absence. In order to return to active status, students must submit and have processed a Request to Return from their Leave of Absence.

    Please DO NOT use this request if you attended another college or university since your last term of enrollment at Cleveland State University or if your most recent enrollment at Cleveland State University resulted in academic dismissal. If you attended another college or university, you must reapply for admission. You can reapply online or download the application or contact the appropriate admissions for an application. If you were academically dismissed, you are required to petition for readmission through the academic college you wish to enter. To initiate the petition process, contact the advising office of the academic college to which you wish to be readmitted.

    Personal Information

    First Name
    Last Name
    Maiden Name

    Student ID Number     		 

    Address

    City
    State
    Zipcode

    Home Phone
    Work Phone
    Date of Birth:        

     

    Residency Information
    Are you a permanent resident of Ohio?   
    Date Ohio Residency Established:
    From        
    Since Birth
    Visa Type (if applicable):   

     

    University Information
    When do you plan to return to Cleveland State University?   of  
    When did you last attend Cleveland State University?   of  
    Career:  

    I certify that the information herein is complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission is considered academic dishonesty and is cause for admission revocation and registration cancellation. I further understand that courses completed at another college or university will not be considered for transfer credit, regardless of circumstance, unless acknowledged during the appropriate readmission process. I agree to abide by all university regulations as set forth in the applicable Catalog.

     

        

    If you would like to download this form, click on the download button below and submit the form in person to Campus411 in UC 162 or can be faxed to 216-687-5501.

    Cleveland State University     2121 Euclid Avenue, Cleveland, Ohio 44115    1-888-CSUOHIO (278-6446)
    Contact Us | Feedback about our site | Legal Disclaimers and Usage Policies | Affirmative Action Statement | FERPA

    This page last modified