To return from a regular leave of absence, please submit this form at least six weeks prior to the start of the semester.

If you are currently on a Medical Leave of Absence, you cannot use this web form. Reinstatement from Medical Leave of Absence must be requested through Student Health & Counseling Service.

Additionally, students who do not enroll in any course work in the program for a span of one academic year or more will be required to reapply if they wish to return.

To successfully submit this form:

  1. Submit files using the blue button in that section.
  2. Submit the form using the red button at the bottom of this form.
Personal Information
Details on Return
Supporting Documentation

Please provide a document with a brief description of your reasons for leaving Washington University. Include a list of your activities, employment, studies, and service since you left the University, and an explanation of how your time away has enhanced your readiness to return. Conclude by explaining why you wish to return to Washington University at this time and include a detailed plan of how you will complete your remaining certificate requirements.

If you have been enrolled in course work while away from Washington University, you must request that an official transcript be sent directly to the PBPM program (  from each institution you have attended. These transcripts will strongly affect your reinstatement. It is your responsibility to ensure that they are received. Reinstatement may be rescinded if these forms are not received.

Up to six units of non-WUSTL college courses may transfer toward the certificate, assuming a grade of C or better.  Note, however, that students who take coursework at another academic institution after beginning the Washington University PBPM program lose cover letter eligibility unless a PBPM advisor approved the coursework in advance. 

If you have difficulty, please email the document to Make sure to include your name and Student ID in the email.

Please upload supporting documentation below. Enter your full name in the File description field and click the blue submit button to upload the files.

To successfully submit this form

  1. Be sure you have submitted files using the blue button in the section above.
  2. Next, sign and submit the form using the red button below.