International Student Services • 7 Mellen Street • iss@lesley.edu • 617.349.8426
Transfer-In Form
PART
I: TO BE COMPLETED BY THE STUDENT
Family Name: ______________________________________ First Name: ________________________________________________
Current Address: ______________________________________________________________________________________________
Email Address: ____________________________________ Phone number: _____________________________________________
Which campus will you be attending?
□ Lesley University Main Campus (BOS 214F00198000
)
□ Lesley
University at Bunker Hill Community College (BOS214F00198002
)
I grant
permission for my current International Student Advisor to provide the following information to Lesley University.
_________________________________________ _____________________
Student Signature Date
Please give this form to your current International Student Advisor, and have them complete it and return it to you, or email it to
iss@lesley.edu. Once this form is complete and your SEVIS transfer out date is reached, we will create your Lesley University I-20.
PART
II: TO BE COMPLETED BY THE INTERNATIONAL STUDENT ADVISOR
Once complete, please return to student or email to iss@lesley.edu
Student’
s SEVIS ID: _________________________________ SEVIS Transfer Release Date: ____________________
The school code for Lesley University’s Main Campus is: BOS214F00198000
The school code for Lesley at Bunker Hill Community College is BOS214F00198002
Please check with the student to ensure you transfer him/her to the correct campus
To the best of your knowledge, has the student maintained F-1 status? Yes No
If no, please explain:__________________________________________________________________________________________
Has the student done any Reduced Course Loads while at your school? Yes No
If yes, please explain:__________________________________________________________________________________________
Please list any periods of Optional Practical Training: _____________________________ Part Time Full Time
______________________________________________________________________________________________________
Signature of DSO Name and Title (Please Print) Date
______________________________________________________________________________________________________
Name of Institution Telephone Number Email address
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