SEVIS SCHOOL
CODE:
ATL214F01398000
INTERNATIONAL STUDENT SEVIS TRANSFER CLEARANCE
FORM
For international transfer applicants currently residing and attending school in the United States
The United States Citizenship and Immigration Services (USCIS) regulations require confirmation that F-1 students have established eligibility to
transfer
schools before transfer is initiated by the new institution.
If
you are currently
a
student on an F-1 visa attending another institution (high
school or university) in the
United
States, you must show that you are currently “
in status
” with the
USCIS
before you are eligible for
a
transfer.
Please ask the international student adviser/designated school official at the institution you are currently attending or previously attended to
complete the information
below.
Please e-mail the completed form to internationaladmissions@coastal.edu.
First Middle
to
TO BE COMPLETED BY
STUDENT
Signature
of
student
to
authorize
release
of
information
Name
of
student
Last
Dates
of
attendance
Student
ID
number
Type
of
Visa
Expiration
date
TO BE COMPLETED BY
INSTITUTION
I-94
admission
number
SEVIS
ID
number
To the best
of
your knowledge,
is
the student currently “in status”
?
____Yes
___
No
If
no,
please
explain
Has the student been granted any kind
of
practic
If
yes, check type and state
duration:
Date
Title
I
hereby certify the preceding information
to
be correct
to
the best
of
my
knowledge.
Signature
of
school
official
Name
Name
of
institution
Address
of
institution
Telephone
___________________________________________
Email
Address
_____________________________________________
P.O. Box 261954 • Conway, SC 29528-6054 • 843-349-2053 • 843-349-2252 fax • coastal.edu
November 2017
