New York Institute Of Technology Sevis I-20 Transfer Form

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OFFICE OF INTERNATIONAL ADMISSIONS
Northern Boulevard, P.O. Box 8000, Old Westbury, NY 11568-8000
SEVIS I-20 TRANSFER FORM
ONLY students who have been attending school in the United States are required to submit this form. Please complete the top half,
and then bring it to the international student advisor at the school you currently attend or most recently attended. Your I-20 cannot
be finalized until this form is received.
TO BE COMPLETED BY THE STUDENT:
Name:________________________________________________________________________ Date of birth: _____/______/_____
(Last)
(First)
Month/Day/Year
Home country (foreign) address: ________________________________________________________________________________
Street address
Apt. #
___________________________________________________________________________________________________________
Country
Province
Postal code
Admissions number (from your I-94 card): ________________________________________________________________________
I intend to transfer to New York Institute of Technology for the _________________________________ semester.
I hereby grant permission for the information requested below to be made available to NYIT.
Student’s signature: ____________________________________________________________
Date: ________________________
TO BE COMPLETED BY THE DESIGNATED SCHOOL OFFICIAL:
The above-named student intends to transfer to New York Institute of Technology for the semester stated above.
Please answer ALL questions based on the term immediately preceding the transfer or the last semester preceding
a vacation or authorized practical training. Please fax the completed form to 516.686.7797 or 516.686.1116.
o The student was issued a SEVIS I-20 Form. We will change his/her SEVIS record to reflect “transfer-out” to NYIT.
The “release date” will be: ________________ SEVIS # ___________________ Campus released to: o OW o MA
Was the student considered to be pursuing a full course study? ________________________________________________________
Is the student currently authorized to attend your institution by USCIS? _________________________________________________
What is the student’s I-20 completion date? _______________________________________________________________________
Student’s last date of attendance: ________________________________________________________________________________
Did the student transfer to your institution? o Yes o No (If Yes, from what institution?) _________________________________
Has the student met all financial obligations? ______________________________________________________________________
Please cite any periods of practical training: _______________________________________________________________________
Completed by: ________________________________ _________________________ Date: _______________________________
(DSO signature)
(Official seal)
Name and title: ______________________________________________________________________________________________
Institution: __________________________________________________________________________________________________
Phone #: ______________________________________________ Email: ______________________________________________
A1590/0712/200

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