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LEAVE OF ABSENCE REQUEST Office of the Registrar McGregor Hall, 213 Form revised October 2022 The full Le ave and Withdrawal Policy is available at: https://antiochcollege.smartcatalogiq.com/en/current/curriculum-catalog/academic-policies-and- regulations/leave-and-withdrawal-policy/ Student Inf ormation Name: ______________________________________________ Student ID: A00000 ___…