Intensive English Program
Ph. 305‐284‐4728
5050 Brunson Drive
Fax. 305‐284‐3633
111 Allen Hall
Miami, FL 33146
iep@miami.edu
F‐1 SEVIS Transfer Form
Instructions: If you are currently attending a language program, high school, or university/college in the United Stated and
you plan on studying at the University of Miami with the Intensive English Program, this form must be completed by both you
and the International Student Advisor at the school where you were last enrolled or where you are currently enrolled.
YOU WILL NOT BE ISSUED AN I‐20 WITHOUT THIS COMPLETED FORM IN YOUR FILE.
SECTION I: To be completed and signed by STUDENT
Name (as it appears on current I‐20) : ________________________________ UM Student ID or SSN: ___________________
Date of Birth: ____/____/_____
Anticipated start date: Month: ______________ Year: ______________
Month/Day/Year
Current U.S. Address: ____________________________________________________________________________________
Street
APT #
City, State
Zip
I authorize the school official below to provide the information requested on this form.
Student Signature: ____________________________________________________ Date: ____/____/_____
SECTION II: To be completed and signed by designated SCHOOL OFFICIAL
Upon verifying the student’s eligibility to transfer and his/her acceptance to the Intensive English Program at the
University of Miami, please transfer the student’s SEVIS record to the University of Miami, campus Coral Gables. The school
code is MIA214F00234000.
To the best of your knowledge, is the student currently in F‐1 status?
Yes
No
I‐94 Expiration Date:
D/S or ____/____/_____
Month/Day/Year
Student SEVIS ID#:_______________________________________ Anticipated SEVIS Release Date: ____/____/_____
Month/Day/Year
Dates of attendance at your institution: ____________________ to _____________________
Does the student have any F‐2 dependents?
Yes
No If yes, how many? ______________
Has the student been granted Curricular (CPT), Optional Practical Training (OPT), or economic hardship?
Yes
No
Is this student eligible to continue at your institution?
Yes
No
(I f no, please explain): ___________________________________
_______________________________________________________________________________________________________________________
THIS FORM WAS COMPLETED BY:
Advisor’s Name:____________________________________________ Title:______________________________________
Institution’s Name & Address:____________________________________________________________________________
Telephone: _________________________________ Email:____________________________________________________
Signature:__________________________________________________ Date: _____/_____/_____