FIU - ELI - Request for Academic Vacation for F1 Students

If you are an F1 student and you have attended two consecutive academic terms, you may request academic vacation for your third term. However, you must be eligible to return and have an intention of returning for the following term.

Note: Please submit this form before the start of the term you are requesting as academic vacation.

Note: If you are a Global First Year student, please consult your G1Y Advisor before requesting academic vacation.

Note: You may only request academic vacation once per year.

Last Name (Primary Family Name) *
Second Last Name (If Applicable)
First Name *
Middle Name
Date of Birth Date of Birth / MM / DD YYYY
E-Mail *
Mobile Telephone *
Would you like to request academic vacation? *

Would you like to request academic vacation? Yes
Have you attended two consecutive terms and do you plan on returning after your academic vacation? *

Have you attended two consecutive terms and do you plan on returning after your academic vacation? Yes
Do you affirm that the information you have provided is true to the best of your knowledge? *

Do you affirm that the information you have provided is true to the best of your knowledge? Yes
Requested Term *
Which portion of the term are you requesting? *

Which portion of the term are you requesting? Full-Term First-Half Second-Half
Draw your signature into the box below. *

Clear
Date Date * / MM / DD YYYY