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WITHDRAWAL REQUEST FORM - St. James School of Medicine - sjsm 2026

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The document is a Withdrawal Request Form for students at Saint James School of Medicine (SJSM) who wish to discontinue their enrollment. It outlines the process for withdrawal, including the need for approval from the Retention Committee, submission of a one-page account explaining the reason for withdrawal, and conditions regarding transcript release and tuition refunds. Students must confirm they do not intend to enroll in another medical program for up to one year after withdrawal.

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

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