Important Note: All Paper Work Requests Have a 10-work day Turn-around Period
Revised 5/2/2014 1570 East Colorado Blvd. D-204 • Pasadena, CA 91106-2003 • (626) 585-7808 • FAX (626) 585-3268
TRANSFER-IN RECOMMENDATION FORM
If you are planning on transferring from a school in the United States, you must complete the transfer application process by having
this Transfer-In Recommendation Form completed. If this form is not returned, we cannot complete your transfer application
process.
To Be Completed By Student:
Student Name _______________________________________________________ SEVIS ID Number __________________________
Address _____________________________________________________________________________________________________
Email Address __________________________________________________ Telephone ____________________________________
Student Signature _______________________________________________ Date ________________________________________
TO BE COMPLETED BY AN F-1 INTERNATIONAL STUDENT DESIGNATED SCHOOL OFFICIAL (DSO):
NOTE: This form is NOT a Transfer Release Form. DO NOT release student’s SEVIS record until you have proof of acceptance
Enrolled in ACADEMIC ESL STUDIES Dates of Attendance: From ___________________To _____________________
Select One FULL TIME PART-TIME If part-time, please explain ____________________________________________
If student is in ESL studies, how many levels of ESL do you offer? ___________What is the student’s current level? _______________
If the student is in high school studies, please provide student graduation date:
The student has been authorized for Reduced Course Load (RCL): Yes No
The student is in good standing with USCIS and is maintaining his/her F-1 status: Yes No
If No, please explain ___________________________________________________________________________________________
Please list all beginning and ending dates of practical training: OPT Start Date____________________ End Date _________________
CPT (Please circle Full Time or Part Time) Start Date____________________ End Date
Comments you feel would be appropriate:
Name of Institution in SEVIS _________________________________________ School SEVIS Code
Address
Telephone Number ____________________ Fax Number_____________________ Email Address
DSO Name and Title
DSO Signature ____________________________________________________________________________ Date ________________________
**Official SEVIS record release date: Upon receipt of PCC’s Acceptance Letter and (if required) student’s written request.
Number &Street City State/Province Country Zip Code
Number & Street City State Zip Code
