Fillable Shoreline Community college SEVIS Transfer-Out Request Form university

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Shoreline Community college SEVIS Transfer-Out Request Form university

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File type: PDF

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F-1 Student
SEVIS Transfer-Out Request Form
A COPY OF ADMISSION LETTER IS REQUIRED.
Last name:
First name:
SID:
965
Phone #:
Alternate email address:
Transfer to:
SEVIS School Code:
City:
State:
Circle one:
Starting in
Fall
Winter
Spring
Summer
[Quarter•Semester•Session]
Starting date at the new school:
Month
Date
Year
I have been admitted to the above school and authorize International Education at Shoreline Community
College to electronically release my SEVIS record to this school.
The release date that I request is:
(Usually the last day of the quarter. Some
exceptions apply. This will not be the date that
has been past already.)
Month
Date
Year
Student signature:
Date:
Advisor’s signature
Date:
Admission letter attached (required)
Immigration Use Only
Confirmed transfer eligibility
initial
Date
SEVIS
initial
Date
FSA
Transfer-out s
cheduled
Added Transfer-out info in Profile
initial
Date
Updated profil
e "F-1T/O" "Complete"
initial
Date
initial
Date
Updated bio section
Front Desk Use Only
File
Archived
initial
Date
Revised 5/2017
Form updated 05/23/16
DEPARTURE SURVEY
Last quarter and year of attendance: ____________________ Country of Citizenship: ______________________________________
Name of agent used when applying, if any: _________________________________________________________________________
If you are transferring, please indicate the reasons why (check all that apply)
Completing Program Moving Closer to Family
Cheaper Tuition Weather
ESL Level/Placement Other: _____________________
Please indicate your plans after leaving Shoreline Community College
Transferring to another 2 year College Other: ______________________
Transferring to an ESL program
Returning Home
Please share any additional comments. What did you like or what didn’t you like during your time here?
Thank you very much! It’s been a pleasure having you here at Shoreline Community College. We wish you the best in your academic
journey.
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Shoreline Community college SEVIS Transfer-Out Request Form university

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Completed 26 December 2019

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