Deferral Request Processing Fee

$60.00

SKU:
UPC:

First Name: (Required)

Last Name: (Required)

Laurier Student ID#: (Required)

Applicant Email Address: (Required)

Program Admitted To: (Required)

Entry Term Listed on Your Offer of Admission: (Required)

Brief Explanation for Deferral: (Required)

Acknowledgment: (Required)

I hereby certify that all statements are correct and complete. I understand that if my deferral is granted my registration will be automatically voided. I understand that if I enrol in any postsecondary education during my deferment, my offer of admission will become void and I will be required to reapply for admission and subject to reassessment.

Electronic Signature: (Required)

By checking this box, I am providing my electronic signature whereby I confirm that the information submitted is accurate and understand that I will be withdrawn for the term(s) requested. This information is collected under the authority of the Wilfrid Laurier University Act to administer the university-student relationship. This includes but is not limited to maintaining your academic and ancillary records, contacting you, and others on your behalf, and releasing such information as is appropriate for the operation of the university. For more information about how your information is collected, used and shared, visit wlu.ca/privacy. Direct privacy questions to privacy@wlu.ca

Current Stock:

Quantity:

Adding to cart… The item has been added

Related Products

Deferral Request Processing Fee

Letter Request

Physician Fees

Differential Membership Fee

Standard Membership Fee

Degree/Diploma Replacement or Duplicate Request Form