Department of Rehabilitation Deferral Request | Irvine Valley College

You must complete your registration before submitting this form. This form does not guarantee your payment will be deferred.

Student ID #

Last Name

First Name

College Email

Phone Number

Semester to be Deferred

Year to be Deferred

Department of Rehabilitation (Counselor Contact Information)

Counselor Name

Counselor Phone Number

Counselor City

Counselor Email