Fillable Transfer Eligibility Form (Platt College)

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Transfer Eligibility Form (Platt College)

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6250 El Cajon Blvd. • San Diego, CA 92115 • free 866.752.8826 • phone 619.265.0107 • fax 619.265.8655 • www.platt.edu
Transfer Eligibility Form
TO BE COMPLETED BY CURRENT SCHOOL OFFICIAL
Date: _______________
To: _____________________________________________________
RE: _____________________________________________________
The student named above intends to transfer to Platt College San Diego. In accordance with regulations of the
United States Citizenship Immigration Services (USCIS), please complete the certificate and return this form to
our school or the student at your earliest convenience.
1. Dates of attendance at your school: _______________ to _______________
2. Is this student eligible to transfer? _____ Yes _____ No
If no, please state the reason:
3. Student is currently in status: _____ Yes _____ No
4. Does the student have any outstanding financial obligation to your school? _____ Yes _____ No
Current School Official Signature:
Name: Title:
Name of Current School:
Address:
Phone:
Fax:
School USCIS number:
Platt College San Diego USCIS number: SND 0240-000
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Transfer Eligibility Form (Platt College)

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Completed 1 February 2021

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