Fillable TRANSFER IN FORM - Transfer In Form

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TRANSFER IN FORM - Transfer In Form

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TO BE COMPLETED BY THE INTERNATIONAL STUDENT
I hereby request and authorize my former International Student Advisor or Responsible Officer to provide the information below in
order for me to complete my transfer to California State University, Fresno for the
_______________________ semester, 20 ______.
NAME: __________________________________________ ________________________________________
(print or type) Last / Family Name First Name / Middle Name
SEVIS ID#: ________________________________ Fresno State ID#: _______________________________
I-94 Admission #: ___________________________ Visa Type: _____ Signature: _________________________
F-1 / J-1
TO BE COMPLETED BY THE INTERNATIONAL STUDENT ADVISOR /
RESPONSIBLE OFFICER
____________________________________________________________________________________________
Name of Educational Institution
____________________________________________________________________________________________
Address of Educational Institution
__________________________________ ___________________________________
Name & Title of Designated School Official (PDSO / DSO) Signature of Designated School Official (PDSO / DSO)
or Responsible Office (RO/ARO) or Responsible Office (RO/ARO)
___________________________________ ___________________________________
Email of Designated School Official (PDSO / DSO) Phone Number of Designated School Official (PDSO / DSO)
or Responsible Office (RO/ARO) or Responsible Office (RO/ARO)
Affix institutional stamp or seal here,
if available.
Please certify that the following information is correct (please explain if NO): Comments:
1. This student was authorized to attend your school. YES NO
2. This student is currently in status with USCIS. YES NO
3. This student was attending full-time. YES NO
4. This student was not engaged in Optional Practical Training. YES NO
5. This student has met all financial obligations to your school. YES NO
SEVIS RELEASE DATE: RELEASE TO: California State University, Fresno
SCHOOL CODE: SFR214F00625000
____________________________________________ PROGRAM CODE: P-1-04019
PLEASE RETURN THIS FORM TO THE STUDENT,
OR SEND IT DIRECTLY TO OUR INSTITUTION BY
MAIL, FAX, OR EMAIL TO:
FOR TRANSFERRING YOUR
FORM
TRANSFER IN
This form is to be used for individuals on F-1 (or J-1) visas who desire to
transfer their SEVIS record to California State University, Fresno (Fresno
State) after being admitted to the next available term at the institution.
This form must be completed by the Designated School Official (DSO)
or Responsible Officer (for J-1s) at the current U.S. institution, and must
be submitted prior to the first day of classes at Fresno State.
SEVIS RECORD TO FRESNO STATE
International Admissions
California State University, Fresno
Joyal Administration Bldg., Rm. 256
5150 N. Maple Ave, M/S JA 56
Fresno, CA 93740-8026 USA
P: 559.278.2409
F: 559.278.7011
E: intladm@listserv.csufresno.edu!
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Completed 19 February 2020

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