INTERNATIONAL SERVICES
444 Appleyard Drive SU 242· Tallahassee, Florida 32304-2895
Phone: 1-850-201-8258 · Fax: 1-850-201-8695 · Email: LVV#WFFIOHGX
TRANSFER-IN FORM
(ONLY IF CURRENTLY ATTENDING A U.S. COLLEGE OR UNIVERSITY)
Once completed, this form should be sent to the Internaonal Services Oce
at Tallahassee Community College (iss@tcc..edu)
PART ONE: This secon must be complete by student.
If you are transferring from another instuon in the United States and are currently holding an F-1 visa, you must ll out the top secon
of this form and have your current school ll out the boom secon. This form is necessary to complete your enrollment at Tallahassee
Community College. Please print or type.
_____________________________________ ____________________________________ ___________________________________
Last Name First Name Middle Name
Name of Transferring Instuon: _____________________________________________________________________________________
Address of Transferring Instuon: ____________________________________________________________________________________
____________________________________________________________________________________
City State Zip Code
I intend to transfer to Tallahassee Community College beginning in (Indicate term and year)
_____ Fall _____ Spring _____ Summer Year: 20________
Tallahasseee Community College school code is: MIA214F00359000
PART TWO: This secon to be completed by Designated School Ocial (DSO) .
This student is in status with USCIS and is eligible to transfer from this instuon to another: _____ Yes _____ No
Comments:
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
SEVIS Number : ____________________________________________________________________________________________________
Stu
de
nt’s Admission Number (I-94), If available:__________________________________________________________________________
Indicate the last date of attendance at your institution : _______/
_______/_______ (mm/dd/yyyy)
N
ame o
f Instuon: ________________________________________________________________________________________________
Mailing Address: ___________________________________________________________________________________________________
__________________________________________________________________________________________________
City State Zip Code
Phone: _( ) ______ - ____________ Fax: _( ) ______ - __________ Email:
__________________________________________
Name of Designated School Ocial: ___________________________________________________________________________________
Title: ____________________________________________________________________________________________________________
Signature: ___________________________________________________________________________ Date: _______/_______/_______