Riverside City College
Center for International Students & Programs
CISP-RCC Transfer Form 191015
Intent to Transfer to Riverside Community College District Form
This student has applied for admission to the following college in the Riverside Community College District. We understand that
he/she is an F-1 international student at your institution. We ask that the DSO please complete and return this form to
InternationalCenter@rcc.edu as soon as possible. Thank you.
Riverside City College
(LOS214F01270000)
Norco College
(LOS214F01270004)
Moreno Valley College
(LOS214F01270003)
Section 1: To Be Completed by the Student
First Name Last Name
Upon completion of your final term at your current institution, do you plan to travel
outside the U.S. before enrollment at Riverside Community College District?
Yes No
Student: Please notify your international student advisor at your current school to release your SEVIS record after you are
admitted to RCCD.
(Month/Day/Year)
Student Signature
Section 2: To Be Completed by the DSO of School Last Authorized to Attend
SEVIS ID
Release Date in
Attendance
Name of School
Is the student currently in active SEVIS status? Yes No
If NO, please explain
Do you recommend the student for transfer? Yes No
If NO, please explain
Does the student have a hold or any outstanding fees? Yes No
DSO First Name DSO Last Name
DSO Telephone DSO Email
Date DSO Signature
Email or fax to Riverside Community College District, Center for International Students and Programs,
internationalcenter@rcc.edu TEL: (951) 222-8160 FAX: (951) 222-8376.
