Admission Deferment Request

Admission Deferment Request
Requests for deferral must be submitted 5 business days before the first day of classes for the admitted starting semester/subterm. An offer of admission to the Graduate School is made for a specific semester/subterm. An applicant may request one (1) deferral for up to one (1) year from the initial semester/subterm of admission.
Program Coordinator's Email:*
Find your Coordinator's Information here.
Student Information
Name:*
E-Number:*
Date of Birth:

MonthDayYear
Date
ETSU Email:*
example@etsu.edu
Degree Program:*
Student type:*

DomesticInternational
Please list your Visa Appointment Date

MonthDayYear
Date
I have been admitted for official admission:
Semester:*
Year:*
I request the start term changed to
Semester:*
Year:*
Reason for change:*
To be completed by the Program Coordinator:
Application:*

ApprovedDenied
Date:
Reason:
Coordinator's Signature:*

Clear
ETSU Graduate School
Recorded*
Forward to:

International Office (if applicable)Graduate Office ManagerGraduate Program CoordinatorScholarship OfficeApplicantOther
Other's Email:*
Application Email
Application:*

ApproveDenyDuplicate
Reason:
Specialist's Signature:*

Clear
1, 2, 3
Should be Empty:

Student Information