Change of Status Forms

If you plan to take a leave of absence, return from a leave of absence, or withdraw from Eastman, please use the following steps.

Step 1: Have you spoken with an academic advisor?

If you have not yet consulted with an academic advisor from the Office of Academic Affairs about your intentions, please email academicaffairs@esm.rochester.edu (undergraduate students) or gradstudies@esm.rochester.edu (graduate students) to set up an appointment.

Step 2: Complete the Change of Status form.

This form should be completed using the following “How to” guides. Please use the blank form listed below for your submission.

Undergraduate students: submit the form to academicaffairs@esm.rochester.edu

Graduate students: submit the form to gradstudies@esm.rochester.edu

Fillable form
***Please download and type into this form if possible

Change of Status Form

Instructions for completing the form

Help: Taking a leave of absence
Help: Returning from a leave of absence
Help: Withdrawing from Eastman

For any other questions regarding a Change of Status, please contact the Office of Academic Affairs at academicaffairs@esm.rochester.edu.