Exit Contact Information

This form is required for all School of Medicine graduate students the term they intend to complete their degree requirements. Once the form has been successfully routed, the student and program representative will receive a confirmation via email. Questions? Contact Graduate Studies at somgrad@ohsu.edu

 

Student Information

 

Please list the "U" before the ID number (e.g. U12345678)

 
 
 
 

Please provide an email address that we will be able to contact you after your OHSU email is disabled should you leave the university post-graduation.

 
 
 
 
 
 
 
 
 
 
 
 

Did you author any publications (peer-reviewed, published or accepted for publication, posters, abstracts, book chapters, review articles, etc.) while a student at OHSU?