Summary: STUDENT SERVICES: ACADEMIC RECORDS & DISSERTATIONS
915 E. Washington Street 0120 Rackham Building Ann Arbor, MI 48109-1070
734-763-0171 Fax: 734-936-1809
E-mail: oard.questions@umich.edu www.rackham.umich.edu
CERTIFICATION FOR DETACHED STUDY
(Number and Street, Apartment)
Student Address:
Student Name: Program Name:
(City, State, Zip Code)
Student U-M ID:
E-mail:
Start Term:
Plans for the period of detached study:
SPWNFA
less than 50%50%75%100%
SUSPWNFA
(YY)
End Term:
(YY)
A. The period of Detached Study covered by this Certification must be no longer than 12 months. This form must be submitted to

Source: Awtar, Shorya - Department of Mechanical Engineering, University of Michigan
Rosenberg, Noah - Departments of Human Genetics & Biostatistics, University of Michigan

Collections: Biotechnology; Engineering