Inactive Term Request Form

A student may find it necessary to remain enrolled in their program while not taking additional coursework. This is defined as participating at Relay under an inactive term status. Reasons for an inactive term may include, but are not limited to:

Remaining enrolled to resolve an Incomplete in a course from a prior term while not enrolling in additional coursework
Remaining enrolled during a term when there are no courses needed to meet your program’s requirements

Please click here to learn more about the Inactive Term Policy.

Please complete this form if you would like to request an inactive term status prior to the term's census date. Not all requests would be granted.

Please note: Students who withdraw, take a leave of absence, are administratively withdrawn, or are dismissed from Relay are not eligible for an inactive term. In some cases, students who withdraw, take a leave of absence, are administratively withdrawn, or are dismissed from Relay, can reapply for enrollment. Additionally, students with a balance are not eligible for an inactive term. For more information regarding returning to Relay, please see the Returning To Relay Policy.

1. Preferred Name

2. First Name *This question is required.

3. Last Name *This question is required.

4. Please enter your student ID number. You can find your student ID number in My Relay Portal.

5. Email
If you have a Relay-issued email, please use that one. *This question is required.

6. Your Advisor

7. Campus/Location
*This question is required.

8. Use the space below to explain the reasoning for your request for an inactive term status. *This question is required.

9. Please select the term in which you are anticipating registering for coursework. *This question is required.

10. Have you met with your advisor to discuss this request? *This question is required.

11. By submitting this form, I acknowledge that if my request is approved - I will remain enrolled at Relay, but I will not be registered for any coursework during the inactive term. *This question is required.