Return completed form to:

F-1 Students

Transferring from SCCC

to Another Institution

To be completed by Student

Surname: Given Name:

Email: SCCC ID:

I am requesting help from ISS to transfer to another college, university, institution. The college, university, or institution to which I wish to transfer is:

Name of college, university, institution

School Sevis ID, if known

SCCC SEVIS ID #: *Transfer Release Date:

SEVIS ID # starting N000------- mm/dd/yyyy

*Transfer Release Date is the date on which your SEVIS record will electronically transfer to the new school. The new school cannot issue their I-20 until after this release date.

• I understand that ON or AFTER the release date I cannot change this request in any way.

• I understand that I CANNOT continue to work on campus after the transfer release date

Signature: Date:

Important Reminders:

Withdrawing from SCCC classes. Please note it is the responsibility of the student to withdraw from any SCCC classes currently pre-enrolled in for future semesters.

Returning to SCCC. If a student leaves SCCC for a semester or more, it is necessary to apply for readmission through the appropriate admissions office.