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

UTCOMLS OSA Forms

Student Organization Forms

For forms and information about student organization, log in to OrgSync.

Preclinical Excused Absence Request Form

This online webform 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).

Letter of Good Academic Standing

The letter request form can be found on the Registrar’s Office site at http://www.utoledo.edu/offices/registrar/forms.html.  Students must complete and sign and then return it to the Registrar either by email, fax or mail. Form must include the student’s signature.  - 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.


Leave of Absence

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.

Leave of Absence Extension

This form must be filled out to request an extension of a leave of absence - (PDF Format) - Download here.

Return from Leave of Absence

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

Withdrawal

This form must be filled out to withdraw from the College of Medicine - (PDF Format) - Download here.

Last Updated: 12/21/17