Graduate School & Continuing Education

Graduate Program Intention Form

Valparaiso University
The Graduate School
Graduate Intention to Enroll Form

Date:
Name:
Address:
City:
State:
Zip Code:
Country:
Email:
Daytime Phone:
Evening Phone:

Yes, I intend to participate in the program beginning
No, I cannot participate beginning in the semester I was admitted, but I am requesting a deferral of my admission to .
No, I will not enroll and am no longer interested in the program.

If not attending VU, please provide the following information:
Will you be attending another university? Yes No
If yes, which university:
Is there a specific reason that you did not choose Valparaiso University to continue your education?
If you are an international student attending Valparaiso University, please provide your flight information:


     
Valparaiso University 1700 Chapel Drive, Valparaiso, IN 46383