WITHDRAWAL REQUEST FORM - St. James School of Medicine - sjsm 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Select your campus from the options provided: Anguilla, Bonaire, or St. Vincent.
  3. Fill in your full name and student ID number in the designated fields.
  4. Enter your mailing address, phone number, and email address accurately to ensure proper communication.
  5. Indicate whether you wish to wait until the end of the current term by selecting 'YES' or 'NO'.
  6. Provide a detailed reason for your withdrawal in the space provided. You may also attach a separate document if preferred.
  7. Acknowledge your understanding of the withdrawal implications by signing and dating the form at the bottom.

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Contact us
If you need additional assistance, please email us at memberservices@thestjames.com. What if I have more questions about the app? In the app, tap Settings, then Help Support for ways to contact The St. James team.
If at any time you have questions do not hesitate to contact our team by phone at 847-574-0555 or by email at enrollment@mail.sjsm.org.
The mean and median score of the MCAT is 501.
Address: Email: patientfeedback@stjames.ie. Telephone: 01 4103361 or 01 4284248. Address: Patient Advocacy Service, Level 3 Rear Unit, National Phone Line: 0818 293003. Website:
Please email our Admissions team on admissions@sgul.ac.uk with this information, and include both names you have used for your exam and your UCAS application.