F-1 Immigration Transfer In Form - Western State Colorado University

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F-1 IMMIGRATION TRANSFER IN FORM
For International Students Transferring From Another U.S.
Institution to Western State Colorado University
INSTRUCTIONS FOR STUDENTS
PLEASE COMPLETE THE FOLLOWING STEPS TO OBTAIN YOUR TRANSFER I-20
Step 1: Submit a completed Affidavit of Support along with bank statements in English. Financial proof must be
dated within the last six months to demonstrate your ability to cover at least one year of academic and living
expenses at Western State Colorado University. Please mail these documents to Laurel Becker • Student Affairs •
301 Taylor Hall • Gunnison, CO • 81231.
Step 2: Complete SECTION I of this form below, sign and date it.
Step 3: Have your current U.S. Institution complete SECTION II of this form.
SECTION I
TO BE COMPLETED BY STUDENT
Full Legal Name as it appears on your passport:
First/Given
Middle
Last/Family
Email
Birth Date (MM/DD/YYYY)
Place of Birth (City)
Country of Birth
Nation of Citizenship
U.S. Immigration Status you currently hold: ☐ Student (F-1) ☐ Other (specify):
Applying for Western for ☐ Fall ☐ Spring ☐ Summer of
(year)
_______________________________________________________________________________________________________________________________
Address in Home Country (Number and Street Name)
Apt#
_______________________________________________________________________________________________________________________________
City/Town
Postal Code
State/Province
Country
_______________________________________________________________________________________________________________________________
Address in the U.S. (Number and Street Name)
Apt#
_______________________________________________________________________________________________________________________________
City/Town
Postal Code
State/Province
Country
Telephone in the U.S. (area code-city code-number)
I am applying for admission to Western State Colorado University. I authorize my current international
advisor or P/DSO to provide Western the information requested below.
_______________________________________________________________________________________________________________________________
Signature of Student
Date
Western State Colorado University
600 N. Adams Street
Gunnison, CO 81231 - 970.943.2011 -

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