Admissions Deferral Request Form

Notes

To defer your admission, please complete and sign this form and pay the $600 Orientation Fee before the last day of registration.
You may defer your offer of admission to ITU one time (to the next academic start date) after that you must re-apply.
You agree not to enroll at another academic institution during your deferment.
If you are an F1 student, you may not be eligible for deferment. If you are approved, please be aware that you must maintain status during your deferment period. For more information on this issue, you can submit a ticket to the International Student Office (ISO), via this link. The ISO also has walk-in hours on Tuesdays and Thursdays, from 10AM-12PM.
International Students will need to contact the International Students Office for any visa related issues and complete the international student deferment form.

Student Information

Full Name *

First Name Middle Name Last Name

Program Name *

Student ID *

Phone Number *

Area Code Phone Number

E-mail (Non-ITU) *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Please briefly explain the reason why you are requesting to defer your admission to the next academic term. *

I understand and agree to the requirements of deferring admission at ITU and will not attend another college or university while I am holding a spot at ITU. I understand that failure to meet all deferral requirements and comply with set deadlines will result in a cancellation of my admission offer. I understand that deferral of admission is only valid until the next academic term and if I do not enroll at that time, my offer of admission is canceled and I must re-apply.

Signature *

Date

Month Day Year