Lds Missionary Application Forms BRIGHAM YOUNG UNIVERSITY LDS M ISSION ARY EN R OLLM by tde19915

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									       BRIGHAM YOUNG UNIVERSITY
       LDS M ISSION ARY EN R OLLM EN T AN D SCH OL AR SH IP DEF ER M EN T APPLI CAT I ON



See back side for instructions.

 1    EnRollmEnt dEfERmEnt (to be completed by student)



      Name                                                                                                                 BYU ID                   —        —
                 Last                               First                             Middle

      Permanent address                                                                                                    Birth date                   /                 /
                             Number and street                                                                                              Month            Day              Year

                                                                                                                              Male         Female
                             City                                          State/Province

                                                                                                                           Telephone (                  )                 —
                             Zip/Postal code                               Country                                                          Area code                Number



                             E-mail
                                      * E-mail required for all CES communication


      If permanent resident, please list alien number

      Home ward                                                                                         Home stake


      Indicate the semester or term you plan to enroll upon your return (mark only one box):

      Year                                        Summer—June                      Fall—September          Winter—January               Spring—April



      Please mark the appropriate box (mark only one). I have been:

         Attending BYU for one or more semesters as a day-time student. Dates of BYU Attendance ___ / ___ to ___ / ___

         Accepted as an incoming freshman, but I am deferring attendance at BYU until I have completed an LDS mission.

         Accepted as a transfer student, but I am deferring attendance at BYU until I have completed an LDS mission.


      Current name of mission                                                                                             mtC entry date                     /
                                                                                                                                                     Month         Year


 2    SCHOLARSHIP DEFERMENT (to be completed by student)


            Check this box if you:

      • Wish to defer any unused portion of a BYU scholarship.

      • Wish to apply for an academic award following your mission.

      • Have applied for a scholarship but have not yet been notified regarding your application. If awarded, your new scholarship will be deferred automatically.

      Scholarship deferment is not official until you receive written approval from the Scholarship Office.

      note: National Merit scholars must contact the National Merit Scholarship Corporation.

      note: For off-campus scholarships, please contact your awarding institution.



 3    CERtIfICatIon (to be completed by student)


      I certify that all statements in this application are complete and true. I acknowledge that my admission and continuing status at Brigham Young University are conditional on such
      completeness and truthfulness.


      Signature                                                                                                                               Date


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To defer your enrollment and scholarship (if applicable) without reapply-      If you are registered for a future semester or term but will be unable to
ing, you must adhere to the following:                                         attend due to your mission, you are responsible for discontinuing from the
                                                                               courses prior to leaving the university.
1. Be admitted as a regular day school, degree-seeking student at
   Brigham Young University.                                                   This completed form should be submitted to the BYU Admissions Office
2. If you are a current BYU student, enter the Missionary Training             after receiving your mission call and before entering the Missionary
   Center (MTC) before the end of next semester (fall or winter)               Training Center.
   following your last day school enrollment. If you are deferring admission
   before attending BYU day school, you should enter the MTC during            International students who are not permanent residents of the United
   the semester to which you have been admitted.                               States should complete the International Missionary Enrollment and
3. Do not attend or enroll at any college or university between leaving        Scholarship Deferment Application, (available at the Student Services
   and returning to BYU.                                                       Window, D-155 ASB, 801-422-2500) NOT THIS FORM.
4. Must not be dismissed from BYU.
5. Complete a full mission and receive an ecclesiastical endorsement
   from your mission president. Failure to complete the mission for any
   reason (i.e., medical, etc.) will void the deferment form and require a           Completed form must be returned to:
   re-application to BYU.
6. BYU will NOT defer spring/summer scholarships                                     IN PERSON:
                                                                                     STUDENT SERVICES wINDOw             PHONE: (801) 422-2507

NOTE: A missionary deferment and continuing student deferment may                    D-155 ASB

not be taken back-to-back (consecutive semesters). Following your mis-
sion, you must enroll at Brigham Young University within a given time                MAILING ADDRESS:
period, as noted below.                                                              BRIGHAM YOUNG UNIVERSITY
                                                                                     OFFICE OF ADMISSIONS

     Return from mission                 Enroll no later than                        A-41 ASB

     October–April                       Fall semester                               PROVO , UT   84602-1110

     May–September                       Winter semester




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