International Student Transfer Eligibility Form

Students

Please complete the top portion of this form then take it to the International Student Advisor at the school you are currently attending for verification and signature. Before the Admissions office can issue you a new I-20, your prior school must release you to Academy College. In order to facilitate this process, please have the foreign student advisor at your present school answer the following questions. Once completed, the advisor should mail, fax, or email the form directly to the Admissions Office using the contact information provided.

Name

First/given

Middle

Birthdate (mm/dd/yyyy)

City and country of birth

Telephone

Current E-mail

I hereby give my permission for to release the following information to Academy College

I hereby give my permission for

International Student Advisor or DSO

The above named student has applied for admissions to Academy College. Please complete the following information for the above student and return this form back to:

Academy College, Admissions Department

1600 W. 82nd St., Suite 100

Bloomington, MN 55431

Fax 952.851.0094

admissions@academycollege.edu

Untitled

The above named student is in F-1 status and has been a full-time student his/her entiretime at our school.

The above named student is out of status and has filed for reinstatement to student statuson . Their file is pending

The above named student is out of status. He/she has not been enrolled as a full-time student andwill need to apply for reinstatement before transferring

SEVIS ID Number

Semester/Quarter last enrolled at your institution?

Release Date

Date

Comments

Signature of School Official

Date

Name of School Official

Telephone

Telephone:

E-mail

Name Of School

Name of school

Name and address of School

Name and address of Schoo