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

Degree / Certificate Level

Program

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':

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.

Confirm your understanding of the following by checking the box next to each statement.

General Info

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