request to defer admission to a future term

Please submit this form electronically to
[email protected]
REQUEST TO DEFER ADMISSION TO A FUTURE TERM
2015- 2016 ACADEMIC YEAR
TERMS
 Deferrals are allowed to give the student an opportunity to participate in a program, activity, or experience designed to enrich the student. Please note that not all requests will be granted.
 You may not attend another university or participate in a program that awards college credit of any kind
during the period of deferral. We may make exceptions on a case by case basis only. If you wish to
have any credit received during the deferral period transferred to Tulane, you must reapply as a Transfer student.
 Scholarships and financial aid awarded for the original enrollment term are not guaranteed for future
term enrollment.
 You may only elect to defer enrollment up to one year from the academic term of the original offer of
admission.
 Once your request is approved, you will be committed to Tulane and may not apply for admission to
any other institution. You will not have to resubmit your application to Tulane for the future term, but you
will have to resubmit your FAFSA and CSS Profile to be considered for financial aid for the future term.
QUESTIONS? Please contact Faye Tydlaska, Director of Admission, at [email protected] or (800) 873-9283.
INSTRUCTIONS
To receive consideration for deferral to a future term, please submit the following:
1. Completed Request to Defer Admission to a Future Term Form – please type directly into the
form and submit via email; mailed or faxed hard copies cannot be accepted
2. $500 commitment and housing deposit through the Admitted Student Website submitted by May 1
(must be received before submitting the deferral form)
3. Additional $700 deposit for future term (non-refundable after May 1); please make the check payable to
“The Tulane Educational Fund”
Please mail your additional $700 deposit check to:
Tulane University
Office of Undergraduate Admission
ATTN: Faye Tydlaska
210 Gibson Hall
6823 St. Charles Avenue
New Orleans, LA 70118
Please submit this form electronically to
[email protected]
REQUEST TO DEFER ADMISSION TO A FUTURE TERM
2015- 2016 ACADEMIC YEAR
APPLICATION
Family/Last Name
Given/First Name
Middle Initial
Tulane ID:
Note: This is the 9-digit number assigned to you by Tulane at the time of your initial application submission; if you need to retrieve your ID,
please email [email protected]
Permanent Street Address
City
State
Date of Birth
High School
Home Phone
Cell Phone
Primary Email
Parent Email
Enrollment Term of Original Offer of Admission:
Requested Future Enrollment Term:
Zip Code
Please submit this form electronically to
[email protected]
REQUEST TO DEFER ADMISSION TO A FUTURE TERM
2015- 2016 ACADEMIC YEAR
DESCRIPTION OF GAP YEAR
Please write a paragraph explaining the reason for your deferral request. Be sure to include detailed plans for the deferral period
and what you hope to gain from deferring your admission.
ELECTRONIC SIGNATURE
Signature _________________________________________________________
Date _______________
This is to certify my agreement to the use of an electronic signature.
An electronic signature is similar to your handwritten signature. Through the use of an electronic signature, you are certifying that you
are the individual listed above, the information you provided in this form is accurate and complete to the best of your knowledge, that
you have read the Terms for Deferral, and have submitted a $500 commitment and housing deposit and an additional $700 deposit to
guarantee your spot for a future term.