International Undergraduate Application/Admission Deferral Request Form

First Name:

Last Name:

Middle Name:

YSU ID (if applicable)

Email Address Registered for Your YSU Application

Applied Academic Program

Deferring to a new academic program?

Deferring from: Semester

Spring

Fall

Deferring from: Year

Deferring to: Semester

Spring

Fall

Deferring to Year

Have you been issued a visa using your current I-20 or DS 2019 Form?

Yes

I am not admitted yet and do not have the I-20 Form from YSU

I have been admitted but do not obtain the I-20 From from YSU

Reason(s) for admission deferral

Select If You Agree

I understand that I can only defer my admission one time within one year of initial acceptance without paying the application fee again. I understand that I must submit any updated materials (e.g. transcript, diploma/degree, copy of passport page, etc.) if applicable.