INTERNATIONAL SERVICES
444 Appleyard Drive SU 242· Tallahassee, Florida 32304-2895
Phone: 1-850-201-8258 · Fax: 1-850-201-8695 · Email: LVV#WFFIOHGX
TRANSFER-IN FORM
(ONLY IF CURRENTLY ATTENDING A U.S. COLLEGE OR UNIVERSITY)
Once completed, this form should be sent to the Internaonal Services Oce
at Tallahassee Community College (iss@tcc..edu)
PART ONE: This secon must be complete by student.
If you are transferring from another instuon in the United States and are currently holding an F-1 visa, you must ll out the top secon
of this form and have your current school ll out the boom secon. 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 Instuon: _____________________________________________________________________________________
Address of Transferring Instuon: ____________________________________________________________________________________
____________________________________________________________________________________
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 secon to be completed by Designated School Ocial (DSO) .
This student is in status with USCIS and is eligible to transfer from this instuon 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 Instuon: ________________________________________________________________________________________________
Mailing Address: ___________________________________________________________________________________________________
__________________________________________________________________________________________________
City State Zip Code
Phone: _( ) ______ - ____________ Fax: _( ) ______ - __________ Email:
__________________________________________
Name of Designated School Ocial: ___________________________________________________________________________________
Title: ____________________________________________________________________________________________________________
Signature: ___________________________________________________________________________ Date: _______/_______/_______
