MIRACOSTA COMMUNITY COLLEGE DISTRICT
SCHOOL TRANSFER INFORMATION
TO: Institute for International Perspectives, MiraCosta College
FROM:
Student Name
Student’s Signature
- - - - - - - - - - - - - - - - - - - - - - - - - -TO BE COMPLETED BY DESIGNATED SCHOOL OFFICIAL - - - - - - - - - - - - - - - - - - - - - - -
Student’s current immigration status: □ F-1 □ Other:
SEVIS Student Number:
First Date of Attendance Last Date of Attendance
Type of Program Attended (ESL, Associate Degree, Certificate, etc.)
Is the student welcome to continue at your school? Yes No
Has this student maintained/did this student maintain full-time student status through the last date of attendance at your
institution? Yes No
If not, why?
Is the student authorized to transfer to another F-1 program? Yes No
Was this student ever authorized for either Optional Practical Training or Curricular Practical Training?
Yes No Not applicable
If yes, please provide details/dates:
Do you have any comments?
Please transfer to SEVIS school: MiraCosta Community College District - MiraCosta College
(SEVIS School Code: SND214F00086000)
Indicate transfer release date entered in SEVIS:
X ________
Designated School Official’s Signature Today’s Date
Printed Name Title Telephone Number
School Name Fax Number
Mail this form to: MiraCosta College, Institute for International Perspectives, One Barnard Dr., Oceanside, CA 92056.
Office: (760) 795-6897, Fax: (760) 757-8209, E-mail: iip@miracosta.edu
