Fillable Transfer-in Eligibility Form (Green River Community College)

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Transfer-in Eligibility Form (Green River Community College)

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The Transfer-in Eligibility Form (Green River Community College) form is 2 pages long and contains:

  • 1 signature
  • 20 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Green River Community College

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Transfer-in Eligibility Form
This form is required prior to being issued an acceptance letter. Please complete Section #1 and ask your advisor to submit
completed form by email to: international@greenriver.edu
Section 1: To be completed by the international student
Last Name: First Name: Middle Name:
Date of Birth: (MM/DD/YYYY)
Current Address:
City: State: Zip Code:
Phone: Email:
Are you planning to travel outside the US before starting classes at GRC? Yes No
By signing below, I am authorizing my current school to release my information to Green River College. If
I travel outside the US before my I-20 has been transferred to GRC, I understand that I must make
arrangements to obtain my I-20 before re-entering the US.
Student’s Signature: Today’s Date:
Section 2: To be completed by International Student Advisor (DSO only)
Dates of enrollment: From: To:
SEVIS Number: Expected release date from your school:
Has the student pursued a full time course at your school? Yes No
Has the student maintained his/her non-immigrant status? Yes No
If no, please explain:
Has the student been authorized for vacation terms? Yes No
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If yes, list dates:
Has the student been authorized for RCL? Yes No
If yes, when and reason:
Has the student been authorized to take CPT/OPT? Yes No
If yes, when:
Has the student encountered problem(s) in academic, financial or social? Yes No
If yes, please explain:
Has the student been on academic suspension or probation? Yes No
If yes, please explain:
Is the student eligible to continue his/her studies at your school? Yes No
If no, please explain:
Are there any other immigration concerns that we should be aware of? Yes No
If so, please explain:
Name of the institution:
Address:
Name of DSO completing this form:
Phone: Email:
DSO Signature: SEVIS Code: Date:
Thank you for completing this form. Please print and send the completed form via email directly to Green
River College.
Green River College | International Programs Office (SEA214F00211000)
12401 SE 320th Street, Auburn, WA 98092-3699 | Telephone: (253) 288-3300
Email: international@greenriver.edu
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Transfer-in Eligibility Form (Green River Community College)

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Completed 27 July 2020

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