F-1 International
Student Transfer-In Form
Please complete this form and request the advisor at your current institution return the form by email or fax.
Note: California Lutheran University's SEVIS School Code is: LOS214F00383000
Part I. To be completed by the student
CLU ID (if known):
First Name: Middle Name: Last Name:
Birthdate (m/d/y): Phone: Email:
Indicate starting term: Fall Spring
In accordance with DHS regulations regarding transfer of schools, I authorize the information requested in Part II
below to be released to California Lutheran University.
Signature: Date:
Part II. To be completed by the international student advisor/DSO at the current school
Student’s SEVIS ID number:
Student’s SEVIS release date:
Please check and complete all that apply:
This student is in good standing and is/was enrolled in a full course of study until (date)
This student is out of status and a reinstatement to student was filed on (date) with the DHS in
(place) and is pending. Please enclose copies of any document filed.
This student is out of status and must file for reinstatement. Please attach explanation.
This student is in Optional Practical Training (OPT)
Start Date: End date:
This student has previously been granted practical training. Please specify type(s) and date(s)
Name of school official: Email:
Title of school official: Phone:
Signature:
Office of International Admission | 60 W. Olsen Rd #2200, Thousand Oaks, CA 91360| 805.493.3861 (fax)| drowley@callutheran.edu
