International Student Transfer Form

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University of New Hampshire Office of International Students and Scholars Thompson Hall, Room G15 Tel: (603) 862-1288 Fax: (603) 862-0844

International Student Transfer Form Prospective students who are currently in the United States in non-immigrant status (i.e. are not U.S. citizens or permanent residents) must submit this form before a Certificate of Eligibility (I-20 or DS-2019) can be issued. Part I – To be completed by the student U.S. Social Security or UNH ID Number:

Current Visa Status:

Family Name (as shown in passport):

First Name:

Date of Birth (mm/dd/yyyy):

Middle Name(s), if any:

City of Birth:

Marital Status:  Single  Married

Country of Birth:

Country of Legal Permanent Residence:

Current Mailing Address Address / P.O. Box #: Current Telephone Number:



Fax Number:

Mailing address valid until:

Zip Code:

Email Address:

Will you be outside the U.S. immediately before enrolling at UNH?  Yes  No

Permanent Address in Home Country Address Line 1:

Address Line 2:


State / Province:

Postal Code:

Country: Telephone (include country code):

Total number of dependents with you in the U.S.: Name (Family Name, First Name)

Date of Birth (mm/dd/yyyy/)

Current Visa Type

Relationship to You

1. 2. 3. Date transferring to UNH:

Date first granted F1 or J1 status:

Intended Degree:


Dates of Attendance

US Schools Attended

Visa Status

Degree Received and Date




1. 2. 3.  I hereby authorize the International Office Staff at the U.S. institution I have most recently attended to review the information above and provide the additional information requested in Part II of this form. Student Signature:


Mail, Fax, or email attachments Attach copies of: passport biographic page, current I-20/DS-2019, U.S. visa, and I-94 card (front and back)

Revised December 7, 2011

Part II – To be completed by International Office Staff The international student whose name appears in Part I of this form has been offered admission to the University of New Hampshire. Please verify the information submitted by the student, complete this section and scan/mail/fax this form and attachments to: Office of International Students & Scholars Thompson Hall, G15 105 Main Street Durham, NH 03824 Tel: 603-862-1288; Fax: 603-862-0844; Email: [email protected] Dates of student’s attendance at your institution: Is student currently pursuing a full course study?  Yes

 No. If ‘no,” please explain:

Is student in valid immigration status and eligible to transfer to UNH?

SEVIS Release date:

 Yes

 No. If ‘no,” please explain:

( UNH School Code: BOS214F00434000)

How is/was this student funded? If student is in J-1 classification, has s/he obtained permission from his/her program sponsor to transfer to UNH?  Yes  No  Don’t know (UNH Program Number: P-1-00070) Please list all types and periods of employment authorized by your office and/or the USCIS: Employment Type Dates of Employment

Are there adjudications in process at USCIS  Yes

 No

If “yes,” please explain:

Additional Comments:

Thank you for taking the time to complete this form. Signature of International Office Staff:

Phone Number:

Name and Title: Address: Email Address:

Date: City:


Zip Code:

Fax Number:

Revised December 7, 2011