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Decline Admission Offer Form


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Student Name:
Student Date of Birth:
(MM/DD/YYYY)
Student Email Address:
Student Phone:
Institution you will be attending:
Reason for declining:
Information Collection Disclosure:

The information you enter here is retained by VLS for internal use, and may be submitted to third-party tools or entities for specific, related purposes such as payment processing or reporting. All data is collected and retained via secure protocols. Click here to read relevant policy information.
European Union residents, click here to request removal of your data from our systems.

Please check this box to indicate that you understand the data retention policy information.