Fillable SEVIS Transfer Form Please note that this information (Nicolet Area Technical College)

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SEVIS Transfer Form Please note that this information (Nicolet Area Technical College)

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The SEVIS Transfer Form Please note that this information (Nicolet Area Technical College) form is 2 pages long and contains:

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  • 6 check-boxes
  • 32 other fields

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SEVIS Transfer Form
Page 1 of 2 Rev. Date 5.20.20
Please note that this information will be provided to the Department of Homeland Security’s Student and Exchange
Visitor Information System (SEVIS) in compliance with federal law. Failure to provide correct information may
jeopardize your immigration status in the U.S.
FOR F-1 STUDENTS ONLY
This form is required of all F-1 and international students who are applying for a transfer to Nicolet College from
another U.S. institution. Students also need to complete and submit the International Student Admissions
Application and Evidence of Financial Support forms.
Please PRINT all information and return this form as soon as possible to:
Nicolet College, International Admissions, PO Box 518, Rhinelander, WI 54501
TO BE FILLED OUT BY THE STUDENT
Date: ________________ Nicolet College Student ID Number: _______________________________
Full Name: _____________________________________________________________________________________
Last (Family Name) First (Given Name) Middle
Date of Birth (MM/DD/YYYYY):__________________________
Current U.S. Address:
Street Address (required): ________________________________________________________________________
Address Line 2: ________________________________________________________________________
City: ________________________________ State/Province/Territory: _____________________________________
Postal Code: _________________________ Country: ___________________________________________________
Contact Information
Email Address: _____________________________________________________________________________________
Phone (please include country code): __________________________________________________________________
Academic Information
Current Program of Study: High school English as a Second Language Undergraduate
Other: ______________________________
Student Signature: __________________________________________ Date: ________________________________
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SEVIS Transfer Form
Page 2 of 2 Rev. Date 5.20.20
TO BE FILLED OUT BY A DESIGNATED SCHOOL OFFICIAL (F-1) AT YOUR CURRENT SCHOOL
For F-1 Students
Attach a copy of the current I-20 and I-94 (both sides).
SEVIS ID Number: _____________________________________ SEVIS release date: ______________________
Student’s I-94 (Admission) Number: ___________________________________________________________________
To the best of your knowledge, is the student currently in status? Yes No
If no, please explain:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
When was the student last considered to be a full-time student at your institution?
Semester: _______________ Year: _______ Last Date of Semester: __________________________
If the student has been granted practical training, please indicate the type and dates:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I certify that I have provided correct information.
School Official Signature: ____________________________________________________________________________
Print Name of School Official: ________________________________________________________________________
Title______________________________________________ Email: _______________________________________
Phone Number ( ) ________________________________ Date (MM/DD/YY): ____________________________
Institution Name and Address
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
For questions or more information please contact us:
Nicolet College, International Admissions, PO Box 518, 5364 College Drive, Rhinelander, WI 54501
E-mail: admissions@nicoletcollege.edu Telephone: (Country code 1) 715.365.4451 Fax: (Country code 1) 715.365.4901
nicoletcollege.edu
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SEVIS Transfer Form Please note that this information (Nicolet Area Technical College)

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Completed 9 October 2020

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