University of New Hampshire Office of International Students and Scholars Thompson Hall, Room G15 Tel: (603) 862-1288 Fax: (603) 862-0844 www.unh.edu/oiss
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:
City:
State:
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:
City:
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:
Major/Field:
Dates of Attendance
US Schools Attended
Visa Status
Degree Received and Date
(mm/dd/yyyy)
From
To
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:
Date:
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:
State:
Zip Code:
Fax Number:
Revised December 7, 2011