UNIVERSITY OF SOUTH ALABAMA

English Language Center

Transfer Eligibility Form for F-1 Students (Already at a U.S Institution)

TO:         The International Student transferring from a U.S. institution:

The Department of Homeland Security requires that this office have the following information in your file in order to process your application. Please complete Section 1 and have your current or most recent Foreign Student Advisor (Designated School Official) complete Section 2.

THIS FORM MUST BE COMPLETED BY YOU (SECTION 1) AND BY YOUR ADVISOR (SECTION 2)

TO: The Foreign Student Advisor (DSO) :

NOTE: SEVIS NAME: English Language Center University of South Alabama  

SCHOOL CODE : ATL214F01610000

Please complete the information requested in Section 2 of this letter and  return to:

UNIVERSITY OF SOUTH ALABAMA    

English Language Center

Alpha Hall East #221 

Mobile, AL 36688-0002
Phone: (251) 460-7185 Fax: (251) 460-7201    

E-mail: usaesl@jaguar1.usouthal.edu

Section 1: To be completed by the student:

Print Your Name:_________________________________________________________________________________
(Last)                                         (First)                                         (Middle)

Name of Present School Attending: _________________________________________________________

Country of Citizenship:__________________  Country of Birth:__________________________________

Date Of Birth:___________________ Social Security Number:__________________________(Voluntary)

I request and authorize my present (or most recent) Foreign Student Advisor (DSO) to provide the following information as part of my application for admission to the University of South Alabama English Language Center.

__________________________________________________

(Signature of Student)                                                           

Print Present Address:   ___________________________________________________________________

__________________________________________________________________

Phone: (____ )_________________E-mail:___________________________

THIS FORM MUST BE COMPLETED AND RETURNED TO ELC BY YOUR ADVISOR BEFORE ANY ACTION CAN BE TAKEN ON YOUR FILE

Section 2: To be completed by the Foreign Student Advisor:

NOTE: SEVIS NAME: English Language Center University of South Alabama

Name of Student: _______________________________________________________________________

Visa type:  _______ I -20 expiration date:______________ INS Admission Number: _________________

SEVIS ID #____________________________SEVIS Release Date: ______________________________

Passport Information:
Issuing Country: ____________________________________             Number: ___________________________

School issuing I-20 for initial entry into U.S: _________________________________________________

Subsequent school, if applicable: __________________________________________________________

Please circle the correct answer and explain all NO response:

1. Is the student attending the school last authorized to attend by I.N.S.?
Yes / No ___________________________________________________________________________

2. Has the student met all financial obligations while attending your school?
Yes / No ___________________________________________________________________________

3. Is the student in status with I.N.S.?
Yes / No ___________________________________________________________________________

4. Is the student currently applying for reinstatement?
Yes / No ___________________________________________________________________________

5. Is the student in good academic standing and eligible to continue at your institution?
Yes / No ___________________________________________________________________________

6. In general, would you support this student's application to our school?

_____________________________________________________________________________________

_____________________________________________________________________________________

7. Additional comments: _________________________________________________________________

______________________________________________________________________________________

I certify the preceding is to the best of my knowledge true and correct.

______________________________________________________________________________________
DSO Signature                                                      Name                               Title              Date

E-mail: ___________________       Fax:_____________________     Phone: (____ )__________________

Institution's Address: _____________________________________

_____________________________________