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Undergraduate Informal Time Off

If you are planning to spend time away from campus and/or not enroll in classes for one or more terms, we want to support you while you are away and make your return as seamless as possible. Please fill out the following form with as much information as you feel comfortable sharing. The more information we know about your specific situation, the better we will be able to support you.

1. What is your full name? *This question is required.

2. What is your Cal Poly email address? *This question is required. This question requires a valid email address.

3. My current major is in the: *This question is required.

4. What is your current academic standing? *This question is required.

5. Which term(s) do you plan to be away from Cal Poly? *This question is required.

Space Cell	Fall	Winter	Spring
2020-21 Academic Year (F'20, W'21, S'21)	2020-21 Academic Year (F'20, W'21, S'21): Fall	2020-21 Academic Year (F'20, W'21, S'21): Winter	2020-21 Academic Year (F'20, W'21, S'21): Spring
2021-22 Academic Year (F'21, W'22, S'22)	2021-22 Academic Year (F'21, W'22, S'22): Fall	2021-22 Academic Year (F'21, W'22, S'22): Winter	2021-22 Academic Year (F'21, W'22, S'22): Spring
2022-23 Academic Year (F'22, W'23, S'23)	2022-23 Academic Year (F'22, W'23, S'23): Fall	2022-23 Academic Year (F'22, W'23, S'23): Winter	2022-23 Academic Year (F'22, W'23, S'23): Spring

6. How many terms did you select in question #5? *This question is required.

7. Please select all of the following that apply to your reason(s) for not enrolling in courses. *This question is required.

8. We want to make sure that you are receiving the most holistic support available and to make sure we are understanding your specific situation. Can you please share as much information as you are comfortable with as to why you are not enrolling in courses?

9. Optional:

If you are in the U.S. on a visa, please indicate your visa type below: (example: F-1, H-4)

(International students on F-1 or J-1 visas should schedule a meeting with an International Student Advisor by emailing intlservices@calpoly.edu before deciding to withdraw.)