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Deferment Request Form
First Name
Last Name
PeopleSoft ID / Student ID
(leave blank if unknown)
Primary Email Address
Secondary Email Address
(if applicable)
Phone Number
(optional)
Original Admit Term
- Term -
Fall 2022 (2231)
Spring 2023 (2234)
Summer 2023 (2237)
Fall 2023 (2241)
Degree / Certificate Level
- Degree / Certificate Level -
Certificate or Endorsement
Bachelor's Degree
Master's Degree
Doctoral Degree
Program
- Program -
Applied Behavior Analysis Certificate (APPBA-AC)
Applied Behavior Analysis MEd (ABA-MED)
Applied Developmental Psychology BS (ADP-BS)
Applied Developmental Psychology MS (ADP-MS)
Applied Developmental Psychology PhD (ADP-PHD)
Combined Study in Early Childhood Education and Special Education MEd (ECESE-MED)
Curriculum and Instruction MEd (CI-MED)
Early Childhood Education MEd (ECE-MED)
Education Leadership EdD (EDLEAD-EDD)
Education Leadership MEd (EDLEAD-MED)
Education Leadership PhD (EDLEAD-PHD)
Education Policy and Social Change EdD (EPSC-EDD)
Education Policy MA (EDPCY-MA)
Education Policy MA (EDPCY-MA) / Comparative and International Education (MACIE-SP)
Education Policy MA (EDPCY-MA) / Higher Education Policy (MAHEP-SP)
Education Policy PhD (EDPCY-PHD)
Education Policy PhD (EDPCY-PHD) / Comparative and International Education (PHDCIE-SP)
English Education MAT (ENGED-MAT)
Exercise Physiology PhD (EXPHYS-PHD)
Exercise Science BS (EXSCI-BS)
Health and Physical Activity EdD (HPRED-EDD)
Health and Physical Activity MS (HPRED-MS) / Clinical Exercise Physiology (MSCEP-SP)
Health and Physical Activity MS (HPRED-MS) / Health and Wellness Management (MSHWM-SP)
Higher Education EdD (HIED-EDD)
Higher Education MEd (HIED-MED)
Higher Education PhD (HIED-PHD)
Infant Mental Health Certificate (IMH-AC)
K-12 Principal Certificate (K12-ACG)
Language, Literacy, and Culture PhD (LLC-PHD)
Mathematics Education MAT (MATHED-MAT)
Not Candidate for Degree Non-Degree (NDEDUG-ND)
Not Candidate For Degree Non-Degree (NDEDUU-ND)
Orientation and Mobility for Individuals with Visual Impairment and Blindness Certificate (OMIVIB-ACG)
Out-of-School Learning EdD (OSL-EDD)
PreK-4 Teacher Preparation Certificate (PK4TP-ACG)
Reading Education MEd (READED-MED)
Science, Technology, Engineering, and Math Education EdD (STEM-EDD)
Social Studies Education MAT (SOCSED-MAT)
Special Education EdD (SPECED-EDD)
Special Education PhD (SPECED-PHD)
Special Education PreK-12 MEd (SPPK12-MED)
Supervisor of Special Education Certificate (SSE-ACG)
Teacher Education BS (TEACHED-BS) / English Education (BSENGED-SP)
Teacher Education BS (TEACHED-BS) / Foreign Language (BSFORLN-SP)
Teacher Education BS (TEACHED-BS) / Math (BSMATH-SP)
Teacher Education BS (TEACHED-BS) / Science (BSSCI-SP)
Teacher Education BS (TEACHED-BS) / Social Studies (BSSOCST-SP)
Teacher Education BS (TEACHED-BS) / Special Education (BSSPEDU-SP)
Teacher of Students with Visual Impairment and Blindness Certificate (TSVIB-ACG)
Teacher of Students with Visual Impairment and Blindness MEd (TSVIB-MED)
Urban Education EdD (UE-EDD)
Urban Education PhD (UE-PHD)
World and Heritage Language Education MEd (WHLE-MED)
Have you informed your Admissions and Recruitment Manager or Academic Advisor about your desire to defer?
Admissions and Recruitment Manager
Academic Advisor
Neither
I need to defer because of
(check all that apply)
Medical/Health Reason
Family Obligations
Military Obligations
Change in Employment
Financial Hardship/Cost Concerns
Other
If 'Other':
Confirm your understanding of the following by checking the box next to each statement.
I understand that I am only able to defer admission to this program until next year and must reapply for admission if I intend to start in a later year.
I understand that the financial awards I have received for this year do not carry over with the deferment, and that I must be re-evaluated for aid in the year that I begin coursework.
I understand that in order to reserve my place that I must inform the Office of Admissions and Enrollment Services of my intent to enroll in the program two (2) months before my start term.