Admission Deferment Form

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Admission Deferment Form
Student name:
Today’s date:
Student ID:
Program of Study:
Please update mailing address and phone number if it has changed since you last submitted an application. 
 
Mailing address: 
 
 
 
 
 
 
 
 
 
 
 
 
Street  
 
 
 
 
,  
 
 
 
 
 
 
City 
 
zip 
 
Contact phone number:  
 
 
 
Defer my enrollment to
:
Fall
Spring
Summer
Reason for deferring my admission:
Desired courses are full.
Financial Aid is not available at this time.
I have not submitted my FAFSA yet.
Medical issues
Daycare issues
My college transcripts have not yet been evaluated.
I am having an issue getting my high school or college transcripts.
Other reasons
I understand that I will need to wait until the admissions office contacts me about the change of my
attended semester of enrollment that I have indicated on this form. This could take 5-7 business days to
process.
Student signature 
 
 
 
 
 
 
 
 
Date 
OFFICE USE ONLY: 
Admit/Student Type________     Residency________ 
 
MMR #1________   M MR #2________ App$________ 

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