Application - Deferment Tuition Payment You must have JavaScript enabled to use this form. Name Student ID Number Email Address Date of request (must be submitted by the end of the add/drop period in order to be considered for the current semester) I request that payment of tuition be deferred as I qualify for the tuition benefit under my employer's policy. Deferment is applicable to: - Select -Fall semesterWinter semesterSpring semesterSummer semester Year Number of Credits Total Cost I understand and agree that if, for any reason, my employer refuses payment, I take leave of my present place of employment, or if I withdraw from my classes after the 100% cancellation period, I will be responsible to ÅÝܽÊÓƵ for the immediate and full payment of all tuition due. By submitting this application, if ÅÝܽÊÓƵ bills my employer directly, I authorize ÅÝܽÊÓƵ to release my grades to my employer. Affidavit - I understand the information provided in the form is subject to verification by ÅÝܽÊÓƵ. Note: This box must be checked to submit form. I certify that all of the information provided by me is true, complete and correct.
