College of Medicine and Life Sciences - Office of Student Affairs (OSA)

Welcome

core mission areas

campus Resources

Contact Us

Mulford Library Building - First Floor
3000 Arlington Avenue
Toledo, OH 43614
Phone: 419-383-4599
Fax: 419-383-4233

OSAMed@utoledo.edu

Forms

Student Organization Forms
  • For forms relating to student organizations - Click here
 
Preclinical Excused Absence Request Form
  • This form must be filled out to request an absence from an examination, quiz, required lecture, small group, laboratory, or a or other mandatory course activity in the preclinical years (MS1 and MS2) - (On-line form) - Access here.
 
Letter of Good Academic Standing
Leave of Absence
  • This form must be filled out to request a leave of absence for personal, medical, or academic reasons. A minimum of thirty days prior to the start of an LOA is required except under significant extenuating circumstances - (PDF Format) - Download here.
 
Request for Modification of Required Clerkship Schedule
  • This form must be filled out to request a modification of the assigned schedule for required clerkships - (PDF Format) - Download here.
 
LOA Extension Form
  • This form must be filled out to request an extension of a leave of absence - (PDF Format) - Download here.
 
Return From Leave Form
  • This form must be filled out to request to return to school following a leave of absence. The form must be submitted a minimum of thirty days prior to returning to classes - (PDF Format) - Download here.
Withdrawal Form
  • This form must be filled out to withdraw from the College of Medicine - (PDF Format) - Download here.

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Last Updated: 6/26/15