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Deferral Request Form

Please note:
- A deferral of one term is permitted.
- There is a charge of $250.00 to defer your start date. (THIS PAYMENT MUST BE PAID AT THE TIME THE FORM IS SUBMITTED.)
- The deferral fee will be credited to your account when you begin classes next term.
- Payment options will be provided when you submit the Deferral Request form.

Name: *
Phone: *
Email: *
Date of Birth (MM/DD):

Deferring To:

Reason for Deferrment:
Method of Payment: * Pay online
Pay by check
(Mailing address and online payment option will display once you submit this form.)