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Clearance to return from Scholarly Year is required. Students must complete this form with their intended date of return or request for an extension by March 15 of their Scholarly Year.

SUBMITTING THIS FORM AND RETURN CONDITIONS: Students on Scholarly Year must complete and submit this form to the Medical Student Research Office (MSRO) by March 15 of your approved Scholarly Year. If the MSRO does not hear from you by this date, it will be assumed you no longer wish to continue your studies at the Icahn School of Medicine at Mount Sinai. You will not be able to enroll in classes or clerkships if you have any outstanding holds on your account. All balances, such as tuition, housing and insurance, must be paid in full before you return.

 STUDENT CLEARANCE REQUIREMENTS: All students returning to clinical rotations or electives must complete Clinical Requirements. A separate form will be sent once you have completed the Return from Scholarly Year form.

TUITION and FEES: Students on Scholarly Leave are granted a one year moratorium on tuition increases. For questions, please contact Enrollment Services at (212) 241-5245. Students must clear any housing arrears (outstanding balances over 2 months), in addition to any outstanding fees or tuition balances, in order to be cleared to return.

FINANCIAL AID: The priority deadline for applying for financial aid is May 1. Please contact Noel Davila for questions about or to apply for Financial Aid:

HEALTH INSURANCE: Students who dropped ISMMS insurance must re-sign within 30 days of their return date. For questions, contact Leonara Dasu at

HOUSING: If not in housing, students must reapply for housing accommodations by March 15. Please contact Cynthia Morales at with any questions.

 SCHOLARLY PRODUCT: A scholarly product is due May 1 for all students. Please submit to:

The scholarly product may be:

  • a 3-5 page final report on your project, including a cover page
  • a manuscript you are preparing for publication
  • a manuscript you have submitted for publication, including journal name and submission date
  • a first author abstract you have submitted to a national meeting, with meeting name, dates and location

Failure to provide a scholarly product will result in you being put on administrative leave and your inability to return to clerkships.

 Please note that final approval to return from a Scholarly Year cannot be granted until all required paperwork, including the Return from Scholarly Year form, the Student Clearance Requirements form and your Scholarly Product, have been completed and submitted to Grace Oluoch in the Medical Student Research Office. 


International Student?*

Scholarly Year Information

Mentor Name*
Institution Address
Did you earn a degree?
If a degree was earned, please specify the degree and institution
Are you preparing a manuscript for publication?
Have you submitted a manuscript for publication?
Have you submitted a first author abstract for presentation at a national conference?
No File Chosen
File uploads may not work on some mobile devices.
If the product is not available, then email to MSRO at by May 1, 2019.

Scholarly Year Dates

Click here to access the academic calendar

Start Date*
Requested Return Date*
Returning to Year*

Student Signature

Use your mouse or finger to draw your signature above

Office Use Only

Return from Scholarly Year: Financial Aid Approval

Financial Aid Approval

Return from Scholarly Year: Health Insurance Approval

Health Insurance Approval

Return from Scholarly Year: Real Estate Services Approval

Real Estate Services Approval

Return from Scholarly Year: Approval by MSRO

Approval by MSRO

Return from Scholarly Year: Final Approval by Director of Medical Student Research

Return from Scholarly Year: Final Approval by Director of Medical Student Research