F-1 Immigration Transfer In Form - Western State Colorado University (Page 2 of 2) in pdf

F-1 IMMIGRATION TRANSFER IN FORM

For International Students Transferring From Another U.S.

Institution to Western State Colorado University

SECTION II

TO BE COMPLETED BY THE INTERNATIONAL STUDENT ADVISOR OR P/DSO AT YOUR CURRENT SCHOOL

Please note: This student is applying for admission to Western State Colorado University (school code DEN214F00173000).

We need the following information concerning this student’s status before we can act upon his/her application. An

admission letter can be faxed upon request. Please complete the rest of this form and mail, email or fax it to:

Western State Colorado University • Student Affairs • Attn: Laurel Becker

301 Taylor Hall • Gunnison, CO • 81231 • Fax 970.943.2254 •

lbecker@western.edu

• phone 970.943.2232

IMMIGRATION INFORMATION

Visa Type:

SEVIS Number:

Is this student authorized by INS to attend your institution? ☐ Yes ☐ No

If no, please explain: _______________________________________________________________________________________________________

Is this student currently enrolled at your institution? ☐ Yes ☐ No

Dates of attendance:

If not, when was the last date of enrollment? ____________________________________________________________________________

Level of Education:

Date of Graduation:

SEVIS Release Date:

(please note: this date may be left blank if the student has not made a final decision to transfer)

Dates of previously authorized off-campus employment:

(please specify whether employment was full or part-time)

Regarding this student, please comment on the following:

OTHER INFORMATION

Is the applicant in good standing and eligible to return or continue at your institution if desired?

Academically: ☐ Yes ☐ No

Conduct: ☐ Yes ☐ No

_______________________________________________________________________________________________________________________________

Comments

Has the student met his/her financial obligations to your institution? ☐ Yes ☐ No

_______________________________________________________________________________________________________________________________

Comments

_______________________________________________________________________________________________________________________________

Signature of P/DSO

Date

Telephone

Fax

______________________________________________________________ ________________________________________________________________

Name (please print)

Title

______________________________________________________________ ________________________________________________________________

Institution

Western State Colorado University

600 N. Adams Street

Gunnison, CO 81231 - 970.943.2011 -

F-1 Immigration Transfer In Form - Western State Colorado University Page 2

Related Articles

Related forms

Related Categories