Admission

Admission Deferment Request

Application and admission deferments are permitted for up to one academic year (2 semesters). A new application for admission must be submitted if you cannot arrive within 2 semesters of your original application. Please use this online form to submit your deferral request.

PLEASE NOTE: This form must be submitted before the ADD/DROP date in the semester from which you are deferring.

*Last Name (Family Name)

*First Name (Surname)

Middle Name

*Date of Birth

*Phone Number:

*E-mail Address:

*Please Change My Term of Entry From (Semester Originally Admitted):

*Semester

*Year

To (New Semester Requesting Deferral Of Admission):

*Semester

*Year

Coursework Completed Elsewhere:

*Since you last applied for admission to the University of Mount Union, have you or will you complete any other academic coursework elsewhere?

Yes

If YES, Please Specify The Following Information:

Name of School:

Attendance Dates:

(Please note: If you attended another school since your last application to the University of Mount Union, you must submit an official copy of those transcripts before your deferral and new admission will be processed).

Academic And Behavioral Conduct

1) Have you ever been charged or convicted for any felony or found to be delonquent in any state or country? [Note that you are not required to answer "yes" to this question or provide an explanation, if the adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.]*

2) Have you ever been charged or convicted for any behavior involving violence (e.g. murder, sexual assault) or harm to others (e.g. stalking, domestic violence. assault, ect.) in any state or country? [Note that you are not required to answer "yes" to this question or provide an explanation, if the adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.]*

3) Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.*

4) Are you facing current disciplinary charges at any college, university or school?*

Signature

Your electronic signature certifies that the institutions and time periods of enrollment listed above are accurate and that you have not been enrolled elsewhere. Failure to identify any institutions (including any post high school graduation coursework, institutions of higher education, and military) or periods in which you were enrolled, attended, or took coursework after graduating from high school, is cause for denial or revocation of the offer of admission.

In place of your signature, please type your full legal name:*