Cleveland State ADMISSIONS DEFERRAL FORM
Please complete the form below with your information. Please include any and all appropriate academic transcripts when submitting this form. If you need assistance filling out this form, please contact
admissions@clevelandstateglobal.org
.
APPLICANT INFORMATION
First Name
Last Name
Deposit ID
'Deposit ID' is the eight (8) digit number found on the first page of your conditional offer letter. Be sure to include all zeros at the beginning of the number.
Date of Birth
Month
Please select...
January (1)
February (2)
March (3)
April (4)
May (5)
June (6)
July (7)
August (8)
September (9)
October (10)
November (11)
December (12)
Day
Please select...
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
Year
Please select...
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Email
ADDRESS INFORMATION
Has your address changed since your initial application? (If yes, please update the mailing address below.)
Yes
No
Street Address
City
Province/Territory
Postal Code
Country
TEST INFORMATION
Have you taken an IELTS or TOEFL English language test since your initial application? (If yes, please complete the test information below.)
Yes
No
Have you taken the IELTS exam?
Yes
No
When did you take the IELTS exam?
MM/DD/YYYY
IELTS Overall Score
Have you taken the iBT TOEFL exam?
Yes
No
When did you take the iBT TOEFL exam?
MM/DD/YYYY
iBT TOEFL Overall Score
Have you taken another English language test since your initial application? (If yes, please complete the test information below.)
Yes
No
Have you taken the Password exam?
Yes
No
When did you take the Password exam?
MM/DD/YYYY
Password Overall Score
Have you taken the Pearson Versant exam?
Yes
No
When did you take the Pearson Versant exam?
MM/DD/YYYY
Pearson Versant Overall Score
Have you taken the PTE exam?
Yes
No
When did you take the PTE exam?
MM/DD/YYYY
PTE Overall Score
ORIGINAL TERM
Please select...
Fall
Spring
Summer
ORIGINAL TERM YEAR
Please select...
2019
2020
2021
2022
2023
2024
2025
NEW TERM
Please select...
Fall
Spring
Summer
NEW TERM YEAR
Please select...
2024
2025
2026
What will you be doing during your deferral term?
Attending another college, university, or English Language Training
Working
Other
Name of school/program
From
To
Name of employer
From
To
If other, please explain below
What is your reason for deferring?
VISA Rejection
Financial
Other
If other, please explain below
GUIDELINES/POLICIES
For applicants that have received a conditional offer letter and would like to defer admissions to the next available semester, an Admissions Officer will process your deferral request and provide you with a new Conditional Offer listing any remaining requirements.
For applicants that have received an I-20, you may request a deferral until 15 days after the program start date on the I-20 issued.
For applicants looking to defer, an updated invoice will be created for the appropriate tuition and fees based on the term they will be attending, even if a deposit is being carried over as tuition is billed for the specific term the student is attending.
Deferral deposits can be carried over for each deferral only in the case of visa denial. For voluntary deferrals, the deposit can only be carried over on the first deferral and after that a new deposit is required.
I agree and accept the guidelines / policies above.
Yes
Student Signature
Date
Attachments
Auto Defer
Yes
Contact Information