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Name
Last First Middle
/
Day Year
Permanent address
City
State/Province
Male
Female )
Area code
Telephone (
Zip/Postal code Country
Number
E-mail
* E-mail required for all CES communication
If permanent resident, please list alien number Home ward Indicate the semester or term you plan to enroll upon your return (mark only one box): Year Home stake
SummerJune
FallSeptember
WinterJanuary
SpringApril
Please mark the appropriate box (mark only one). I have been:
Attending BYU for one or more semesters as a day-time student. Dates of BYU Attendance ___ / ___ to ___ / ___ Accepted as an incoming freshman, but I am deferring attendance at BYU until I have completed an LDS mission. Accepted as a transfer student, but I am deferring attendance at BYU until I have completed an LDS mission. mtC entry date
Month
/
Year
Wish to defer any unused portion of a BYU scholarship. Wish to apply for an academic award following your mission. Have applied for a scholarship but have not yet been notified regarding your application. If awarded, your new scholarship will be deferred automatically. Scholarship deferment is not official until you receive written approval from the Scholarship Office. note: National Merit scholars must contact the National Merit Scholarship Corporation. note: For off-campus scholarships, please contact your awarding institution.
Signature
Date
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To defer your enrollment and scholarship (if applicable) without reapplying, you must adhere to the following: 1. Be admitted as a regular day school, degree-seeking student at Brigham Young University. 2. If you are a current BYU student, enter the Missionary Training Center (MTC) before the end of next semester (fall or winter) following your last day school enrollment. If you are deferring admission before attending BYU day school, you should enter the MTC during the semester to which you have been admitted. 3. Do not attend or enroll at any college or university between leaving and returning to BYU. 4. Must not be dismissed from BYU. 5. Complete a full mission and receive an ecclesiastical endorsement from your mission president. Failure to complete the mission for any reason (i.e., medical, etc.) will void the deferment form and require a re-application to BYU. 6. BYU will NOT defer spring/summer scholarships
NOTE: A missionary deferment and continuing student deferment may not be taken back-to-back (consecutive semesters). Following your mission, you must enroll at Brigham Young University within a given time period, as noted below.
If you are registered for a future semester or term but will be unable to attend due to your mission, you are responsible for discontinuing from the courses prior to leaving the university. This completed form should be submitted to the BYU Admissions Office after receiving your mission call and before entering the Missionary Training Center. International students who are not permanent residents of the United States should complete the International Missionary Enrollment and Scholarship Deferment Application, (available at the Student Services Window, D-155 ASB, 801-422-2500) NOT THIS FORM.
D-155 ASB
MAILING ADDRESS:
BRIGHAM YOUNG UNIVERSITY OFFICE OF ADMISSIONS
A-41 ASB
PROVO , UT
84602-1110
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