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
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.