Deferral Request Form

First Name

Last Name

Birthdate

Email Address

Please be sure to use a permanent email address. Many school-based email addresses become inactive following graduation. Email is our primary form of communicating with you, so please be sure you have a current, active address.

Desired Enrollment Term

Spring 2025

Fall 2025

Spring 2025 classes begin Jan. 21, 2025.

Fall 2025 classes begin September 2, 2025.

Please explain why you are requesting a deferral and what you plan to do during that time.

Acknowledgement

In place of a signature, please type out your full first and last name to acknowledge the above information is true and accurate. Please make sure you have selected the correct desired enrollment term and that you have reviewed and agree to the conditions as part of Puget Sound's deferral policy.

Full Name

Today's date