OKLAHOMA STATE UNIVERSITY
GRADUATE COLLEGE
Submit to:
202 Whitehurst
Stillwater, OK 74078
405-744-6371, Fax: 405-744-0355
gradi@okstate.edu
Admissions Deferral Request Form--Graduate Students
Graduate students, who experience circumstances that prevent them from enrolling the semester they were admitted to
and wish to be considered for a single-semester change in their admission, must submit a completed Admissions Deferral
(AD) request form to the Graduate College. Admission Deferrals are not automatic and are at the discretion of the
Graduate College and graduate program.
Please review the information and instructions on the reverse side of this form.
Last Name
First Name
Middle Name
Mailing Street Address
City
State
Country
Zip
Permanent Street Address
City
State
Country
Zip
Degree/Major/Option Admitted to OSU
CWID
Date of Birth (MM/DD/YR)
Home Phone Number
Cell Phone Number
Email address
First semester in the original offer of admission:
Intended semester of enrollment:
(Semester/Year – An Admission Deferral request cannot exceed one semester
beyond the semester noted in the offer of admission). If exceeding one semester, please submit a new application through
the normal application portal.
Reason for Admission Deferral Request (use additional space if necessary):
Student’s Signature
Date
For Graduate College use only:
___ Deferral Approved
___ Deferral Denied
________________________________________________
Signature
__________
Date
COMMENTS:
November 24, 2014
AD Page 1
OKLAHOMA STATE UNIVERSITY
GRADUATE COLLEGE
Submit to:
202 Whitehurst
Stillwater, OK 74078
405-744-6371, Fax: 405-744-0355
gradi@okstate.edu
ADR-Grad 2014
Instructions:
Before completing the Admission Deferral (AD) request form, be sure to
 Review Admission Deferral Policy
 Confer with your Graduate Coordinator, advisor(s), and relevant offices (e.g., ISS, Financial Aid) regarding the
impact of AD on your financial, academic, work-related, and personal circumstances
 Confer with your Graduate Coordinator, advisor(s) and the Graduate College about what, if any, conditions may
be placed on your admission after the AD
If, after review and consultation, you choose to request an AD
 Complete the AD form (include supporting documentation) and
 Submit the signed form to the Graduate College for review
Important notes
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When to submit the request: You are expected to request an AD prior to the beginning of the original, intended
semester of enrollment.
Verify college approval: Submitting the AD does not guarantee that the request will be approved. Be sure to obtain
confirmation from the Graduate College that your AD has been approved, and verify the approved AD start term/year.
Canceling registrations: An approved AD does not automatically cancel any registrations. If you are enrolled for
the first semester of admission and enrollment, you must cancel your registration(s). Failure to do so will result in
billing and assigned grades for the term(s).
Financial support through the University: If you receive financial aid from the University, you should talk with
your graduate program, Student Financial Aid, Office of International Students and Scholars and the Graduate
College to learn about any effects an AD might have.
Financial support from private funding sources: If you receive funding from a source outside the University, you
should talk with that agency to learn about any effects an AD might have.
Financial support from a graduate assistantship appointment: You must contact your graduate program and talk
with the employing unit prior to submitting this form to your college.
If you are an international student: You must contact the Office of International Students and Scholars to
determine what, if any, impact the AD will have regarding your immigration status.
Multiple degree programs: If you are a student pursuing two graduate degrees in more than one college, you will
need to request an AD from each graduate program under the provisions of this policy. If you are a student pursuing a
graduate degree and a first professional degree (e.g., D.V.M. or D.O. degree), you will need to request an AD under
the provisions of this policy and will also need to comply with the AD policy stipulated by the college offering the
first professional degree.
Enrollment after AD: If you obtain an approved AD from the Graduate College in accordance with the AD:
Graduate Student Policy, you are eligible for enrollment for the indicated semester provided you have:
o Applied to your college for Admission Deferral via the Admission Deferral Request--Graduate Students form
o Applied for admission deferral to the same major, degree, and option
o Received approval and enrolled for the term/year identified in the college-approved AD agreement
o Completed the Reinstatement of Admission Following Deferral form disclosing and changes in academic
history and background
November 24, 2014
AD Page 2