Change of Admission Term

Request for Change of Admission Term
For Undergraduate and Post Baccalaureate Students
Complete this form if you are a newly admitted student and wish to change the term of your admission application.

Change of Admission Term Policy:
1. The change of admission term form may only be used to move one consecutive term backward (i.e. Fall 2022 to Spring 2022) or up to two consecutive terms forward (i.e. Fall 2022 to Fall 2023) from the original term of admission.
2. If you will be attending another institution during the semester/term you originally applied to attend NSU, additional transcripts might be required.

Student Information

First Name

Middle Name

Last Name

Birthdate

Email Address

Banner ID (if known)

Mailing Address

Country

Street

City

Region

Postal Code

Tahlequah

Broken Arrow

Muskogee

Online

Term of original application:

Semester

Year

Please change admission term to:

Semester

Year

Additional Education

Will you be attending another school during the semester you originally applied to NSU?

Yes

No

What indicate the school you will be attending:

Disciplinary Action

Do you have any pending felony charges, or have you been convicted, pled guilty, pled no contest, or accepted a deferred judgment to any criminal felony charges? You do not need to answer "yes" to this question if all of the above, and all associated sentencing, court orders, and other conditions ended five or more years ago or if your felony record has been expunged.

Please indicate the date(s), location(s), and nature of the felony(ies):

Have you ever been suspended, expelled, or received disciplinary action from any college or university as a result of a non-academic issue? This does not include academic suspension or probation due to low GPA.

Please write a description of the disciplinary action circumstances:

Statement of Understanding

My signature on this form certifies that I am requesting to change my term of admission to Northeastern State University and that I agree to the conditions stated in the Change of Admission Term Policy stated above.

Signature

Click to Sign...