Intent to Enroll Form

Congratulations on your admission to Charles R. Drew University of Medicine and Science (CDU).

Please submit your Intent to Enroll within two weeks of receiving your acceptance letter.

First Name

Last Name

Social Security Number (SSN)

Email Address

CDU Accepted Program

Entry Term

Will you accept the offer of admission from Charles R. Drew University of Science and Medicine?

Yes, I accept Charles R. Drew University of Medicine and Science's offer of admission

No, I am declining the offer of admission

Please indicate your primary reason for declining admission

In selecting this option I understand that I must submit an official deferral request to the Admissions Department and wait for approval. If my request is approved, I will need to submit a new Intent to Enroll form. I understand the deferment is valid for one academic term only.

Other Institution Name

Other Institution CEEB Code

Signature
Please print your name below.