F-1 Student Visa Transfer Form
If you are planning to attend McNeese State University and are coming from a high school or university in the United States, please
ask the international student advisor at the school you are currently attending or last attended to complete this form and return it
to the following address:
McNeese State University
International Student Affairs Office
fax: (337) 562-4238
Section I (to be completed by student)
Name: Date of Birth
I hereby grant permission to the Designated School Official at the school I am currently attending or last attended to release
information regarding my enrollment to McNeese State University.
________________________________ ____________________
Signature Date
Section II (to be completed by DSO)
□ Student was issued a SEVIS I-20 Form. We will change his/her SEVIS record to reflect “transfer out” to McNeese State
University. The release date will be____________________________________________.
□ Student was NOT issued a SEVIS I-20 Form. Student does not and will not have a SEVIS record from our school.
Please complete the following:
1.) Student’s Admission Number ______________________________________________________
2.) Level of education being pursued at your school _______________________________________
3.) Student’s major at your school _____________________________________________________
4.) Last semester enrolled at your institution _____________________________________________
5.) To the best of your knowledge, is the student in status with the INS? yes no
6.) If “no” please explain _____________________________________________________________
7.) Does the student have a pending reinstatement case with the USCIS? __________________________
8.) Has the student ever been granted CPT or OPT from your institution? _______________________
If yes, please complete the following: Began ____________ Ended______________
Type of Practical Training: CPT or OPT (circle one)/ Full-time or Part time (circle one)
THIS FORM WAS COMPLETED BY:
Name (print)_______________________________ Title______________________________________
Name and Address of the Institution ________________________________________________________
______________________________________________________________________________________
Phone # _______________________________________ Fax #___________________________________
Signature _____________________________________________ Date ___________________________
