I-20 TRANSFER IN FORM International Programs Office │Ph: 831‐582‐4778 │ Fax: 831‐582‐3314 │
[email protected] Student Information Last / Family Name _______________________________ First Name ______________________________ Date of Birth: ____________________ (Month / Day / Year)
CSUMB Student ID#: ________________________
E‐mail: _____________________________________________________ Current US Address: _________________________________________________________________________________ Current Mailing Address: _____________________________________________________________________________ New Student for:
Fall ________
Please check one:
Undergraduate
Spring________ Graduate
Summer ________
Non‐degree Program
Please sign the release of information statement below and give this form to the international student advisor at the school you now attend or most recently attended. I grant permission for information requested below to be released to California State University, Monterey Bay. Student’s Signature ____________________________________________ Date: ______________________________ To: Designated School Official The above named student has been granted admission and will be issued an I‐20 to attend California State University, Monterey Bay. We request confirmation of his/her status at your institution before processing. Student’s SEVIS ID # ______________________________________ Release date ______________________________ Student’s SEVIS status: _____________________________________ (Please do not transfer student in terminated status) Date last attended: _______________________________________ Student is in good standing and is/has been pursuing a full course of study. (Or has already been reinstated to status by USCIS,) and is eligible to transfer. CSUMB Campus Code (SFR214F01693000) Student is out of status, and will need a new SEVIS I‐20 from California State University, Monterey Bay. Student is out of status and a reinstatement to student status was filed on ______________ at USCIS and is pending. Other: (please feel free to attach a separate sheet for explanation) Has the student been authorized for any periods of CPT/OPT?
No
Yes
If yes, please indicate type and dates _________________________________________________________________ Name of School: _________________________________________________ School code ________________________ Signature of DSO ____________________________ Date __________ Name of DSO _____________________________ Email: _______________________________________________ Telephone number: ___________________________ Email this form to: CSU Monterey Bay Office of Admissions at
[email protected]