Current Students Forms Leave of Absence Application Form - DTHM

Leave of Absence Application Form - DTHM

This form is for Domestic Students studying any of Bachelor of Medicine, Bachelor of Surgery, Bachelor of Veterinary Science, Bachelor of Physiotherapy, Bachelor of Pharmacy,  Bachelor of Health Science (Physician Assistant), Bachelor of Nursing Science - Bachelor of Midwifery, Bachelor of Dental Surgery, Master of Psychology (Clinical), Graduate Certificate of Research Methods [Tropical Environments and Societies], and Graduate Certificate of Research Methods [Tropical Health and Medicine].

If you are an international student, regardless of what subject you are studying, please complete the International Leave of Absence Form.

If you are a domestic student not studying one of the above courses, please complete the Leave of Absence form.

If you have not been enrolled past census date for at least one study period at JCU, you do not need to take a Leave of Absence, you can defer your studies.

When would you like your leave of absence to commence?

Study Period *

For how long would you like your leave of absence to be approved? *

Please note this email will be updated into your student record.

The Notification of Extenuating Circumstances form can be used to self-declare your circumstances where documentation such as a medical our counseling certificate is required.

Please allow for file upload and processing time after you submit your application. Larger file attachments will have a longer upload time.

You must read and agree to the following conditions *

  • It is my responsibility to investigate the consequence that taking a Leave of Absence might have with regard to census dates and any external bodies (e.g. effect on Centrelink benefits or student visas).
  • If approved, I will be withdrawn from all subjects for the period of Leave of Absence granted.
  • I will retain access to StudentsOnline, eStudent and my JCU computer and email account during the period of Leave of Absence, and I will continue to monitor my JCU emails and maintain my correct address details through eStudent during this time.
  • It is my responsibility to check that I am able to complete the degree within the maximum time allowed (taking into account part time studies and/or failed subjects), even if I haven’t already consumed the maximum allocated time of leave.
  • If I am in receipt of a Commonwealth Scholarship, my scholarship payments will be suspended while I am on approved Leave of Absence. However, a maximum period of deferral for scholarship payments is 1 year. After that time, my scholarship will be terminated. (Please contact the Scholarships Officer at scholarships@jcu.edu.au to arrange deferral of scholarship payments.)
  • If I am in receipt of a Start-up Scholarship and/or a Relocation Scholarship, I acknowledge my scholarship payments will be suspended while I am on approved Leave of Absence. (For further information, please contact Centrelink at www.centrelink.gov.au or phone 13 24 90.)