application deferral request form

Who should fill this form? Students that have been accepted to Seattle Central, but need to defer their enrollment to a ...

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Who should fill this form? Students that have been accepted to Seattle Central, but need to defer their enrollment to a future term, must submit the complete Application Deferral Request Form with any required documents for review by the application deadline of the quarter that the student is applying for. Send this completed form with any required documents to International Admissions via email or fax: Email: [email protected] Fax: (206) 934-3868

Required Supporting Documents: For first deferral:  Completed Application Deferral Request Form  Express mail fee (optional) Please Note: We may request an updated bank statement for first deferral if the original bank statement in student file has expired.

If this not the first deferral:  Completed Application Deferral Request Form  Proof of finances, showing sufficient funds are available, as listed on our website: https://intl.seattlecentral.edu/ upload/rte/file/pdfs/proof-of-finances.pdf  Application fee of US$50  Express mail fee (optional)

TO BE COMPLETED BY THE STUDENT Full Name: (Last Name, First Name, Middle Name)

Date of Birth:

Student ID Number: (Available on the 2nd page of your acceptance letter)

(MM/DD/YYYY)

SEVIS ID Number: N

Email: (Available on your I-20 & visa)

Quarter & year that you want to defer to: Fall (starting September) Spring (Starting April)

Winter (starting January) Summer (starting June)

Year:

Current Mailing Address (Address where you want your deferred materials to be sent) Address: City:

State:

Country:

Zip Code/Postal Code:

Phone Number (if outside of the United States): Mailing Preference: Regular Airmail (Estimated delivery time 3-4 business weeks from the day documents are mailed out) Express Mail (Estimated delivery time is 3-5 business days from the day documents are mailed out) I will pay the additional US $50 express mail fee. Please send the documents via express mail. Credit Card Payment OR Other Payment Options Local Mail (Available only for mailing addresses within the U.S. Estimated delivery time is up to 2 weeks) Pick-Up (Name of the person authorized to pick up the materials:

)

Agency Information (If you are not applying through an agency, please write N/A) Agency Name: Address: 9/7/2017 SFA