OFFICE OF UNDERGRADUATE ADMISSIONS
Application Update/Enrollment Deferral Request
Student Name:
Panther ID: |
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Date of Birth: |
Please check all that apply:
Update Term of Entry
Change of Address
Change of Major: From:To:
Note: Admission to FIU does not guarantee admission to selective programs of study including, but not limited to, College of Nursing and Health Sciences, School of Architecture and the Arts.
Requesting Enrollment Deferral
Other Change in Application (please indicate)
Update Term of Entry: |
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Current: |
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Change To: |
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( ) Fall Semester |
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(year) |
( ) Fall Semester |
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(year) |
( ) Spring Semester |
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(year) |
( ) Spring Semester |
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(year) |
( ) Summer Semester |
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(year) |
( ) Summer Semester |
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(year) |
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I am: ( ) a first time in college applicant |
( ) an undergraduate transfer |
( ) a former student returning |
Change of Address: |
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Is this address |
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( ) New |
( ) Permanent |
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( ) Local |
Mailing Address: |
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Street Address |
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Apt. |
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City, State |
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Country |
Zip/Postal |
Telephone: ( |
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Email Address |
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Enrollment Deferral Request:
Reason for request:
Are you attending another higher education insitution prior to your term of entry? |
Yes |
No |
If yes, please enter name of insitution:
Dates of attendance (to and from):
If yes, please enter the expected number of credits in progress or earned:
Please email the completed form to admiss@fiu.edu or fax to Undergraduate Admissions at (305)348-2100.
11/13 JG