You may request the deferral of your application for up to one academic year following the initial term of entry deadline. After this time, a new application is necessary.

*Students who have completed or plan to complete college level courses at another institution since their original application are not permitted to defer their acceptance. Students should instead submit a new application indicating their status as a transfer student.

Additionally, coursework completed since your application was submitted must be reported and will be reviewed in the deferral process.

Keep in mind that failure to notify Old Dominion University of enrollment at another institution is a violation of the University's honor code.

Name

First Name:*

Middle Initial:

Last Name:*

University Identification Number (UIN)

UIN:*

Date of Birth

Date of Birth:*January February March April May June July August September October November December

*1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

*

Contact Information

Email Address:*

Primary Phone:*

Home Mobile Work Fax Pager

Address

Street Address:*

Street Address 2:

City:*

State:*

Zip/Postal Code:*

Deferment Request

Change my term of entry from:*Fall 2011 Spring 2012 Summer 2012 Fall 2012 Spring 2013 Summer 2013 Fall 2013

To:*Fall 2012 Spring 2013 Summer 2013 Fall 2013 Spring 2014 Summer 2014 Fall 2014

Additional Coursework

If you have completed any additional coursework since your initial application, report it here.

Name of School:

Address:

Attendance Dates:

Name of School:

Address:

Attendance Dates:

Remarks

Please indicate your academic plans for the upcoming term(s).

Subject:

Message: