This form should be submitted 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 an approved Medical Leave of Absence must be requested through Student Health & Counseling Service.  If you are applying to return for a fall semester, applications must be received between June 1-July 1.  For a spring semester return, applications must be received between November 1-December 1.

Personal Information
If your permanent home address has changed since you left the university please enter your new address below.
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 degree requirements.

If you have engaged in college work since leaving Washington University, you must request that an official transcript from each institution attended be sent directly to the dean’s office. 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 Reinstatement may be rescinded if these forms are not received.

Please upload the document below. If you receive an error when attempting to upload, please email the document to Make sure to include your name and Student ID in the email.

Files must be less than 2 MB.
Allowed file types: rtf pdf doc docx.
Please re-type your name to sign this form.
Policies & Procedures