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for F-1 Students

Currently in the U.S.

All students currently in F-1 status at any type of institution (high school, college, university, intensive English institute) in the U.S. who plan to change schools must complete the transfer procedure through SEVIS. It is the student’s responsibility to maintain his or her F-1 student status and to complete the instructions below.

Transfer Procedural Instructions

• Get admitted to Seward County Community College.
• Notify your current school of your intent to transfer.
• Complete Section 1 of this form only after you’ve been admitted and you choose to attend SCCC.
• Have the Designated School Official (school administrator or international student advisor) at your current institution complete Section 2.
• After you and your current school have determined the date to have your SEVIS record electronically released to SCCC, promptly return this completed form.
• After the release date, SCCC will produce an I-20. Unfortunately, SCCC CANNOT produce a SCCC I‑20 until after the release date submitted by your current school.

SECTION 1 To be completed by the student

1. SURNAME/Family name Given name

2. Semester for which you are applying to SCCC: □ Fall 200___ □ Spring 200___ □ Summer 200___

3. Date of Birth _ _ / _ _ / _ _ _ _ 4. SCCC ID#, if known

mo day yr

5. Will you travel out of the US between attendance at the two schools? □ Yes □ No

If yes, please consult with your current advisor to determine if it is best to delay your release date until after your return. Dates of travel: from to

6. I authorize the release of information on this form for the purpose of a school transfer.

Student signature Date

SECTION 2 To be completed by Designated School Official (DSO) of school last authorized to attend only after the student has been admitted and a release date has been established.

1. Specific Release Date Release to: Seward County Community College

KAN214F00502000

2. Did the student receive approval for a reduced course load? □No □Yes If yes, complete following: Reason: □ Academic □ Medical Program Level & Dates

3. Did the student receive any practical training? □ No □ Yes If yes, complete the following:

Time: □ Full □ Part Type: □Optional □Curricular Program lvl & dates

4. _____Student enrolled full time and is in good academic standing.

5. _____Other______________________________________________________________________________________

6. As DSO, I verify the information above is accurate to the best of my knowledge.

Signature Print Name:

Date Title:

Name of School

Phone Fax: E-mail