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Graduate Intent to Enroll Form

Please check one of the boxes below and follow the associated instructions to indicate your decision regarding attending the Graduate School of Lourdes University.

By checking this box, I acknowledge my intent to enroll at Lourdes in the program and term selected below.

In the event that you find yourself unable to begin the program when indicated above, please notify us so that we may invite another qualified applicant to take your place.

By checking this box, I acknowledge my intent to defer my admission at Lourdes for up to one (1) year or until the start of the next cohort in the program selected below, whichever is greater.

Lourdes reserves the right to make changes to courses of study and degree requirements.

By checking this box, I acknowledge that I have decided not to enroll at Lourdes in the program selected below.

Please provide your reason(s) for not enrolling:

Graduate program:*

Term*

By entering my name and the date below, I certify that the information I have provided is true and correct to the best of my knowledge.*

Date*

* Required

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