University of South Alabama

Office of International Services

Transfer Eligibility Form for F-1 Students
TO: The International Student Transferring from a U.S. Institution
SECTION I - To Be Completed by the Student: (Please Print)
Your Name:
(Last)

(First)

(Middle)

Present School:
Student ID #

Country of Citizenship:

Date of Birth:

/
(Month)

/
(Day)

Country of Birth:
(Year)

I request and authorize my present (or most recent) International

Student Advisor to provide the following information as part of my
application for admission to the University of South Alabama.

(Signature of Student)

SECTION II - To Be Completed By The International Student Advisor:

Applicants Name:
(Last)

SEVIS ID#:

(First)

(Middle)

Release Date:

Visa Type:

Current School:

Dates of Attendance:

Is student attending the school last authorized to attend by INS?

Is student in status with INS?

Yes

Yes

No (If no, explain. Add pages if necessary.)

Is student eligible for readmission to your institution?

Yes

No

Has student had financial difficulties while attending your school?

Is student currently applying for reinstatement?

No

Yes

Yes

No

No

In general, would you support this students application to our school?

Yes

No

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

School Official - Signature

Title

Print Name:

Date

Phone Number (

E-Mail:
Institutions Address
Please affix school seal.

Please return a completed copy to:

Office of International Services

Meisler Hall, Suite 2200
University of South Alabama
Mobile, AL 36688-0002

Tel:
Fax:

(251) 460-6050
(251) 414-8213