Admission Change of Start Date Request

Admission Change of Start Date Request
This form is used to request a change to your admission start date.
Student Information
Name*

First NameLast Name
Email*
Student Number*
Degree*
Program *
Program Stream/Theme *
MFA Stream *
Program Assistant Email*
Program Coordinator Email*
Department Head Email*
Supervisor Email
Please ignore this field if you are in a course-based program and do not have a supervisor.
Are you an international or domestic student?*

InternationalDomestic (Canadian, Permanent Resident of Canada, Canadian Refugee, Diplomat)
Have you previously requested a change of start date for this program?*

YesNo
Reasons for deferral request*

Personal financesProgram funding (research assistantships, teaching assistantships, award, etc.)Study permit delayStudy permit deniedPersonal or family reasonsUnable to travel to Canada at this timePrefer to study in personI'd rather not sayOther
What date would you like your start date changed to?*

DayMonthYear
Students can request to defer their start date by a maximum of twelve months. Please select the start date of a term (e.g., September 1, January 1, May 1).
Is there additional information you'd like to share about your deferral request?
Approval
By submitting this form, you are indicating that all information provided within this Change of Start Date Request is accurate and that you meet the requirements of the policy.

I acknowledge
Please verify that you are human*
Your personal information is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA). Questions about the collection of this information may be directed to gradadmin.ubco@ubc.ca.
Should be Empty:

Admission Change of Start Date Request

Student Information

Approval