Educational Deferment Request

Please enter your Scholarship Foundation Student ID:

Name:

Current Phone Number

###-###-####

Current Email Address:

Current Mailing Address

City

State

Zip

I meet the qualifications for an in-school deferment because I am enrolled:

FULL TIME (12 or more credit hours)
at least HALF TIME (6-12 credit hours)
Only complete this form if you are CURRENTLY enrolled in school taking 6 credit hours or more. Please note that enrollment for PhD dissertation or graduate research does not qualify for educational deferment.

Current Enrollment Info

I'm currently enrolled at:

Please enter the name of the school you are attending:

Degree:

Major

This enrollment status applies for the following academic period:

Enrollment Start:

MM/YYYY

Enrollment End:

MM/YYYY

And my Anticipated Graduation Date is:

Please submit proof of enrollment showing the number of credit hours you are currently taking. Examples include a current class schedule, a letter from the registrar, an unofficial transcript, etc.

I understand that if my enrollment drops below 6 credits, I will lose my eligibility to defer payments, and I will go into repayment immediately. I authorize the Scholarship Foundation of St. Louis to use the National Student Clearinghouse to verify the enrollment the information provided.

Signature:

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