UNIVERSITY OF MINNESOTA
Crooksto
n Campus International Programs 12 Hill Hall
Crookston, MN 56716-5001
218-281-8442
Fax: 218-281-8
588
Toll Free: 1-800-232-6466
http//:www.UMCrookston.edu
SEVIS Information
School Name: University of Minnesota
Campus Name: University of Minnesota, Crookston
SEVIS School Code: SPM214F00039002
TRANSFER RECOMMENDATION / RELEASE
Dear International Student:
Your F-1 status and SEVIS record must be transferred to the University of Minnesota, Crookston before we can issue you an I-20 for study at
UMC. Please note that only one school can control your SEVIS record. Consequently, it’s important that your decision to attend the
University of Minnesota is firm before you submit this form to your current foreign student adviser for completion. Discuss the
Transfer Release Date with your foreign student adviser. If you have decided to attend the University of Minnesota, please complete Section I
of this form and take it to the International Office at the school you are currently attending.
SECTION I To be completed by student
Last
Name:
First
Name:
Middle:
Date of
Birth
Month: Day: Year:
Do you have dependents in the U.S. who hold
F-2 status?
______Yes ______No
If you answered yes, it is important that you have included dependent information on the Financial Certification Statement you have
completed for the University of Minnesota.
Student’s
Signature
Date
SECTION II To Be Completed by International Advisor/Designated School Official at Your Current School:
The above-named student intends to transfer to the University of Minnesota, Crookston. Please complete the information below to
assist in processing the transfer. Note: the transfer release date is the date the student intends to terminate enrollment and/or employment at
your school. Thank you.
SEVIS ID#_____________________________ Transfer release date in SEVIS_________________
Student’s Program of Study at Your School: ___AA/AS/AAS ___BA/BS ___MA/MS ___Other (specify):
Has student had an Authorized Drop Below Fulltime entered in SEVIS? ____Yes ____No
If Yes, please indicate reason: ____Academic Difficulty ____Final Term ____ Medical (# of months medical ____)
Last Term/Year of Enrollment:______________________ Is Student in Valid F-1 Status? ___ Yes___ No
If the student is out of status does s/he have an application for reinstatement pending with BCIS? ___Yes ___No
Name of Person
Completing Form:
Title
Email Address
Telephone
Number
School Name &
Address
Date
Email
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