Request to Change Admissions
Term International Student
Original Admission Term
(Term and Year):
New Admission Term (Term and
Year):
Did you attend MDC prior to
this admissions application?
Change of Admission Term Process
Applicants who wish to enroll in classes in a term prior to the admission term on their application must complete this form and
submit it to the Office of Admissions and Registration at their Campus. Please note the following:
1. Changing the term of admissions may change an applicant’s eligibility for residency for tuition purposes. Applicants
requesting to change their admissions term and who wish to claim in-state residency for tuition purposes, must provide
the required documentation for the term they plan to begin attending.
2. Applicants on financial aid or applying for financial aid must contact the Office of Financial Aid to determine how
changing the term of admission may affect the status of financial aid or scholarships.
3. Applicants changing their term of admission, who have submitted a separate application for a selective admissions
program such as Nursing, or Bachelors programs, must contact that program for instructions.
4. Students who submit this form are not guaranteed admission in their new desired term.
Student Signature ________________________________________ Date _____________________
For Office Use Only: Instructions to Staff: This document must be imaged in the student’s records file.
Staff Name and User ID: _________________________________________
Date Processed: _________________________________________________
To be completed by International Student Services (before submitting to A&R)
The above named student’s I-20 will be updated to reflect the dates of new admissions term listed herein.
ISS Adviser/DSO name: ______________________________________ Phone: _________________
Signature: ____________________________________________ Date: ________________
A&R Created 3/2020
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