• Start
  • Page Break 1
  • Page Break 2
  • Page Break 3
  • Complete

PBPM Request for Time Away from Washington University

From time to time students want to take time away from the Post-Baccalaureate Premedical Program (PBPM) at Washington University.

When you take a Leave of Absence from the University you have the option to return at a later date. Please note that 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.

If you do not wish to return to the University as a PBPM student please indicate that below and your time away will be processed as a withdrawal from Washington University. 

Personal Information
Primary address during absence
Have you submitted an Intent to Complete form?
Would you like to withdraw your Intent to Complete?
Do you plan to take courses at another institution during your absence from the PBPM program?
Do you plan to return to the PBPM program in the future?
If your address will be outside of the United States please select "International" from the state list (the last option) and enter as much address information as possible in the fields below.
CAPTCHA
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.