Get Deferred Examination Application Form Please Use Block

Filling out the deferred examination application form correctly is essential for processing your request effectively. This guide provides a step-by-step approach to completing the form using block letters to ensure clarity and accuracy.

Follow the steps to complete the form successfully.

1. To start, click the ‘Get Form’ button to access the deferred examination application form. This will allow you to open the form in an online editor where you can begin filling it out.
2. Enter your student’s name in the designated field. Make sure to use block letters to ensure legibility.
3. Provide the date of your application in the appropriate section. Ensure that this is the date you are filling out the form.
4. In the current program field, include the name of your educational program. Again, use block letters for clarity.
5. Indicate your major in the corresponding field. This lets those reviewing the application understand your academic focus.
6. Fill in the course prefix and number. This information is vital for identifying the specific course associated with your deferred examination request.
7. Include the name of your instructor in the instructor field, as this person will be involved in the examination process.
8. In the reason for request section, provide a clear and concise explanation for your need to defer the exam. Use block letters and separate your thoughts into multiple lines if necessary for clarity.
9. Once you have completed the form, ensure that all signatures are obtained. This includes the instructor, adviser, and your signature, along with the respective dates.
10. Lastly, pay the deferred exam fee of $50.00. Don't forget to include the UB receipt number in the designated field, and attach a copy of your payment receipt.
11. Print three copies of the completed form. Keep one for yourself, give one to your adviser, and submit the third to the registrar.

Complete the deferred examination application form online today to ensure your request is processed without delay.