Leave of Absence Form

Please refer to the School of Graduate Studies (SGS) Leave of Absence Policy and appropriate sections regarding Leave of Absence, and Stop-Out, Withdrawal, & Failure to Register on the SGS website.

Graduate students whose programs require continuous registration may apply to their Graduate Unit for a leave during their program of study for (i) health or personal problems which temporarily make it impossible to continue in the program, or (ii) parental leave by either parent at the time of pregnancy, birth, or adoption, and/or to provide full-time care during the child's first year.

Once on leave, students will not be registered, nor will they be required to pay fees for this period. Accordingly, students may not make demands upon the resources of the University. Students may however choose to opt into continued access of campus services by paying the non-academic incidental fees, as noted below.

Note:

1. Students on leave who have been accessing physician care from Health and Wellness prior to the start of their leave will maintain uninterrupted medical and psychiatric care for the duration of their leave and are not required to opt-in to continue receiving treatment. Additionally, students with sport or exercise-related injuries or inquiries will have continued access to The David L. Maclntosh SportMedicine Clinic. Students wishing to continue their UTGSU health and dental plan coverage should contact health@utgsu.ca to inquire about extended coverage during the leave. Students may request continued access to U of T libraries and electronic resources (e.g., OneDrive) by emailing graduate.information@utoronto.ca  from their utoronto.ca address. If SGS approves the request, they will contact the library to allow continued access to these services.

2. Students applying for parental leave should check their eligibility for an SGS Parental Grant.

 

Parental: Parental leave is for a new child and must be completed within 12 months of the date of birth or custody. Where both parents are graduate students taking leave, the combined total number of sessions should not exceed 4. Students are eligible for one leave per child. SGS Parental Grants are available to eligible students taking an approved for a least one session (4 months)

Medical: Attach a Verification of Student Illness or Injury form or medical certificate:

Personal: Provide an explanation (you may attach additional documents if more space is required):

Continued Access to Campus Services (to be completed by the student):

Students opting-in to services will receive information about the amount of fees, and the link for on-line payment, by email. Fees will be based on the current academic year. For information only, fees for the 2019 - 2020 academic year were:

• One session ($456.02 FT, $91.22 PT)
• Two sessions, ($912.04 FT, $182.44 PT)
• Three sessions ($1,368.06 FT, $273.95 66)

Note: Students on leave who accessed physician care from Health and Wellness or treatment offered through The David L. Maclntosh Sport Medicine Clinic prior to their leave will maintain uninterrupted medical and psychiatric care for the duration of their leave and need not opt in to pay compulsory non-academic incidental fees if they accessed the service in the past year and are receiving ongoing treatment for a condition.  

Students may request continued access to U of T libraries and electronic resources (e.g., OneDrive) by emailing graduate.information@utoronto.ca from their utoronto.ca address. If SGS approves the request, they will contact the library to allow continued access to these services.

Students on approved parental and medical leave may request financial assistance to access Hart House athletic facilities through SGS. Please contact the SGS Financial Advisor at sgs.financial.assistance@utoronto.ca.

 

By signing this form, I confirm that I have read the Leave of Absence Policy and understand the conditions of this request and agree not to undertake any academic work toward my graduate degree program.