Program Manual - Saint Louis University

Contact Information
Course Instructor's Signature
Course Instructor's Signature
While away from the program, I may be contacted as follows:
Name Street Address
City, State, Zip Code Area Code/Telephone Number
Status of the Request
Resident's Signature
� Approved � Not Approved
Program Director's Signature Date
Policies Regarding a Leave of Absence
An absence refers to any absence from the program for a period of one hour or longer. A request for a
leave of absence from the Program must be sought in writing before the absence occurs. In most instances
absences are planned; thus a request for a leave of absence can be made long before the absence is
anticipated. A written request for a leave that is health based (and sudden) may be requested when the
resident returns to school; in such instances the Program Director must be notified as soon as practical and
a doctor's note may be requested. An emergency leave may be granted by the Program Director under
certain circumstances. This same approval process must be followed before a resident may attend any
professional meetings (e.g., A.A.O., O.E.R.F., G.O.R.P.), short courses, or lectures away from CADE,
unless the Program Director indicates otherwise.
Requests for leave immediately preceding or following a scheduled vacation period usually will not be
granted. A resident that is not maintaining adequate standing (i.e., a cumulative grade point average of 3.0
or better and fulfilling their clinical responsibilities) will not be granted leave. Typically a student will not
be granted more than 3 days of leave during any major semester (Spring and Fall).
A leave of absence must be requested in writing, and approved in writing, before any travel plans are
finalized.