Re-Admittance Request

Request re-admittance to the MD Program as a returning student. All fields marked * are required.

Your information

Signing in is optional for re-admittance. If you still have your AUSOMA Microsoft 365 account, signing in pre-fills your details. If you no longer have a school account, just complete the form and give us a personal email we can reach you at.

Legal Last Name *

Required.

Legal First Name *

Required.

Middle Initial

AUSOMA Student ID *

Required.

AUSOMA Email (if you still have one)

Enter a valid email.

Personal Email (if no AUSOMA email)

Enter a valid email.

Phone *

Required.

Re-Admittance details

Last Date of Attendance *

Required.

Expected Start Semester *

Required.

I am requesting Re-Admittance for the following reason *

Returning student previously attended Required additional time for USMLE Step 1 Exam Required additional time for USMLE Step 2 CK Exam Required additional time for USMLE Step 2 CS Exam Other (please explain)

Please choose a reason.

Guidelines for Re-Admittance

To be considered for re-admittance your student file must be complete.

This form is returned to the Office of the Registrar for processing.

I have read and understand the guidelines for Re-Admittance above. *

Please confirm you have read the guidelines.

Electronic signature

Typing your full legal name below serves as your electronic signature, dated today, with the same effect as a handwritten signature.

Type your full legal name *

Required.

Date

✓

Request submitted

Your Re-Admittance request has been received and routed to the Office of the Registrar for review.

Confirmation of Submission

Re-Admittance Request

Reference—

AUSOMA — Office of the Registrar · Submitted . Keep this confirmation for your records.

What happens next

The Office of the Registrar reviews and accepts or declines your request.
On approval, a PDF record is attached to your Populi student profile and your status is updated.
A “Re-Admittance” touchpoint is added to your record in the Student Journey timeline.
You receive a confirmation email at the address on file.

AUSOMA — Prototype for the Office of the Registrar. Proprietary & Confidential · Internal Use Only.