AMERICAN COLLEGIATE LIVE 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 live.admissions@americancollegiate.com.

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

Day

Year

ADDRESS INFORMATION

Has your address changed since your initial application? (If yes, please update the mailing address below.)

YesNo

Street Address

City

Province/Territory

Postal Code

Country

OLD PROGRAM Admitted for

NEW PROGRAM Applying for

ORIGINAL TERM

ORIGINAL TERM YEAR

NEW TERM

NEW TERM YEAR

What will you be doing during your deferral term?

Attending another college, university, or English Language TrainingWorkingOther

Name of school/program

From

Name of employer

From

If other, please explain below

What is your reason for deferring?

VISA RejectionFinancialOther

If other, please explain below

GUIDELINES/POLICIES

You must submit this form prior to the program start date listed on your Offer letter

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.

Deposits 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