Scholarly Extension

Please fill out this form to request a program extension. This may include taking a year away from the medical school curriculum to pursue research at Penn; pursue a fellowship; enroll in a second degree at Penn (note that second degrees at outside institutions require a leave of absence);

Name Name First Last
Current Graduation Date (Month, Year)
New Graduation Date (Month, Year)
Program Extension Begin Date (Month, Year)
Program Extension End Date (Month, Year)
Program Plans

Program Plans Research External Fellowship Global Health Combined Degree (at Penn only) Combination of activities (please explain)
Costs for Year and Registration

During a program extension year you remain a registered full-time student with a reduced budget and will be charged the general fee, clinical fee, technology fee, and disability insurance (approximately $5,800/year).

You will also be charged for health insurance (approximately $4,000/yr) should you opt to participate in the University’s plan.

WHETHER YOUR YEAR-OUT INCLUDES SCHOLARLY PURSUIT, ARRANGED ACTIVITIES, OR GLOBAL ACTIVITIES, REGISTRATION PAPERWORK MUST BE SUBMITTED BY SEPTEMBER 1ST (of this calendar year).
Type of Health Insurance

Type of Health Insurance Penn Other
Financial Aid Eligibility

PSOM awards (scholarship and loans) are only applied to MD tuition paying semesters.

Direct loans are available to assist to cover fees and living expenses.

Loans are still eligible for deferment.

Students considering an extra year should stop by the PSOM Office of Financial Aid to discuss financial planning.
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Scholarly Extension

Scholarly Extension

Costs for Year and Registration

Financial Aid Eligibility