International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
EV Program Number: P-1-12619 School Code: ATL214F00247000
TRANSFER TO UWG REQUEST
This form should be used if applicant is transferring from an institution in the United States.
SECTION 1: PROSPECTIVE STUDENT INFORMATION
To be completed by the student.
Applicant’s Family
Name (Last Name)
Applicant’s Given
Name (First Name)
Date of Birth
UWG Student ID
917
Phone Number
Term to start at UWG
Email Address
Current Visa Status
F-1 Student J-1 Student Other Visa Type: Specify _________
Current Institution
I give my permission for my present institution to provide the information requested on this form to the
University of West Georgia.
Student Signature: ________________________________________________________________________ Date: _______________
SECTION 2: ADVISOR RECOMMENDATION
To be completed by the PDSO/DSO (F-1 Advisor) or ARO/RO (J-1 Advisor) of the students most recent (or
current) institution.
If you can confirm this transfer, please complete the form and process the “transfer out” in SEVIS. Any questions can be directed to
International Student Admissions & Programs at the University of West Georgia. Thank you for your timely assistance. Please do not
transfer the SEVIS file until the student receives their acceptance letter from UWG.
Student’s Status
Student above is in good standing with SEVIS (Active Status)
Student above is out of status. Please explain: _______________________________________
SEVIS ID Number
N000
Date/Term of Last Enrollment
Is student on work
authorization?
OPT
CPT
No work authorization
For students on work authorization
Work Authorization Dates
Begin Date:
End Date:
SEVIS Release
Date
Institution
DSO/ARO Name: _____________________________________________________________________________________________
DSO/ARO Title: ______________________________________________________________________________________________
DSO/ARO Signature: _____________________________________________________________________ Date: ________________
Email completed forms to global@westga.edu
