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I-20 Transfer Report for F-1 Students

Please print out this form, then complete it by hand.

INSTRUCTIONS TO APPLICANT: Please complete the following items, then submit this form to the International Student Advisor at your current school, along with a copy of your current I-20. Please print clearly.

Name: _______________________________________________________

Social Security Number (if available): ___________-______-___________


In accordance to the provisions of the Family Educational Rights and Privacy Act of 1974, P.l. 93-380 Section 438 (a)(1)(B) and Subtitle A, section 99-11 and 99.12:

I DO or DO NOT waive my right of access to and review of this document.

Please release the requested information to Drexel University ELC.


Signature of Applicant: _______________________________________________________

Date: _____________________




TO BE COMPLETED BY THE CURRENT SCHOOL
To the International Student Advisor:
The student named above has applied for admission to the Drexel University English Language Center. We would appreciate your answering the questions and returning the report to the student or to the address listed below.

1.   Is the above-named student currently in F-1 status at your school?
  Yes _____ No _____


2.   How long was the student at your institution?________________________

  Date of entry? _____________________


3.   What was the student's last date
  of attendance at your institution?___________________


4.   Has the student maintained full-time status and reasonable academic progress?
  Yes _____ No _____


5.   Has the student met all financial obligations?
  Yes _____ No _____


6.   Are there any special circumstances regarding this student's status?
  Yes _____ No _____



If so, please explain:

______________________________________________________________________________



7.   SEVIS ID#:  ______________________ Transfer Release Date ______________________


Name and address of institution:

______________________________________________________________________________

______________________________________________________________________________


Printed name of advisor: _______________________________________________________

Signature of advisor: _______________________________________________________

Date: ______________________

Phone Number: _(______)__________-_______________


Please return this form along with a copy of the student's I-20 to:

Elizabeth Atkins, International Student Advisor
Drexel ELC
229 N. 33rd Street
Philadelphia, PA 19104 USA

Phone:  215-895-5911
Fax:  215-895-6775
E-mail:  eatkins@drexel.edu



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