SEVIS Transfer Form
e following international student has requested transfer to Laramie County Community College
(SEVIS School ID DEN214F00257000).
Name SEVISID #
School Currently Attending
Address
Birthdate (MM/DD/YY) 1-94 Admission Number
Email Address
I authorize release and transfer of my information through the
SEVIS system to Laramie County Community College
___________________________________________________ ________________________
Signature of Transfer Applicant Date
Section 2: To be completed by current international student advisor.
Please provide the following information related to this transfer application:
Student is in good nancial standing.
Student is NOT in good nancial standing.
Explanation:
Student is in status.
Student is out of status.
Explanation:
Date of Transfer
(MM/DD/YY)
School Ofcial Name
Title
Institution Name
Signature Date
Email
Please complete form and return to: Laramie County Community College
Student Records Oce
1400 E. College Drive
Cheyenne, WY 82007
Phone: 307.778.4348 • Fax: 307.432.7856
PRS 12943 3/13
Laramie County
Community CoLLege
PRINT