{"id":77228,"date":"2021-01-21T10:11:24","date_gmt":"2021-01-21T15:11:24","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/gms\/?page_id=77228"},"modified":"2025-07-29T11:30:49","modified_gmt":"2025-07-29T15:30:49","slug":"gms-withdrawal-deferral-request-form","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/gms\/admissions\/gms-withdrawal-deferral-request-form\/","title":{"rendered":"GMS Withdrawal Form for the use of GMS Admission ONLY"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><strong><em>Students withdrawing after the 1<sup>st<\/sup> day of classes, please contact GMS Registrar at <a href=\"mailto:GMSRegistrar@bu.edu\">GMSRegistrar@bu.edu<\/a>.<\/em><\/strong><\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var 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gform_body'><ul id='gform_fields_290' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_290_2\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_2\"><label class='gfield_label gform-field-label' for='input_290_2' >College<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_290_2' type='text' value='MED' class='medium'  aria-describedby=\"gfield_description_290_2\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_290_2'>MED College<\/div><\/li><li id=\"field_290_29\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_29\"><label class='gfield_label gform-field-label' for='input_290_29' >GMS Program<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_290_29' type='text' value='' class='medium'  aria-describedby=\"gfield_description_290_29\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_290_29'>Name of GMS Program<\/div><\/li><li id=\"field_290_3\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_3\"><label class='gfield_label gform-field-label'  >Action to take effect: (Semester)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_290_3'>\n\t\t\t<li 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ginput_container_text'><input name='input_9' id='input_290_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_290_8\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_8\"><label class='gfield_label gform-field-label'  >Type of Leave Requested(Withdrawal\/Deferral)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_290_8'>\n\t\t\t<li class='gchoice gchoice_290_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Withdrawal'  id='choice_290_8_0'    \/>\n\t\t\t\t<label for='choice_290_8_0' id='label_290_8_0' class='gform-field-label gform-field-label--type-inline'>Withdrawal<\/label>\n\t\t\t<\/li>\n\t\t\t<li 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class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_14\"><label class='gfield_label gform-field-label' for='input_290_14' >Reason for Leaving<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_290_14' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_290_15\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_15\"><label class='gfield_label gform-field-label' for='input_290_15' >Name of ISSO Advisor<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_290_15' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_290_20\"  class=\"gfield gfield--type-text gfield--width-full 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class='ginput_container ginput_container_text'><input name='input_21' id='input_290_21' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_290_18\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_18\"><label class='gfield_label gform-field-label' for='input_290_18' >For Official Use Only (Withdrawal\/Deferral Status Code)<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_290_18' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_290_19\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_290_19\"><label class='gfield_label gform-field-label' for='input_290_19' >Exit Interview Reason Code<\/label><div 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