admission application for international (f1) students - Nassau ...
admission application for international (f1) students - Nassau ...
admission application for international (f1) students - Nassau ...
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This <strong>for</strong>m is only <strong>for</strong> transfer F-1 <strong>students</strong> from another U.S. school<br />
Office of International Student Affairs<br />
<strong>Nassau</strong> Community College<br />
Transfer Verification Form<br />
Welcome to <strong>Nassau</strong> Community College! Federal regulations governing <strong>students</strong> in F-status require our office to verify<br />
your F-1 status from the <strong>international</strong> student advisor of the school you were last authorized to attend. Please complete<br />
Part I and then submit it to your International Student Advisor at your current school <strong>for</strong> completion of Part II.<br />
PART I: To be completed by student.<br />
Name: _____________________________________________________________________________<br />
Last/Family First Middle<br />
Home address _________________________________City __________State _____Zip Code________<br />
Phone Number _________________________ E-mail address_________________________________<br />
Semester you intend to transfer to <strong>Nassau</strong> Community College_______________/______<br />
Fall or Spring YEAR<br />
Student’s Signature _______________________________________ Date _____________________<br />
(Your signature above indicates that you have authorized the release of this in<strong>for</strong>mation.)<br />
PART II: To be completed by the International Student Advisor or Designated School Official at your current<br />
school.<br />
SEVIS ID Number: N____________________<br />
Degree/ Major: _________________________<br />
Yes No<br />
____ ____ Did the student complete the program <strong>for</strong> which the I-20 was issued<br />
Dates of Attendance: From __________ To _____________<br />
____ ____ Is student in lawful F-1 status and eligible to transfer<br />
If student is not in lawful F-1 status, please<br />
explain:__________________________________________________________________________________<br />
_________________________________________________________________________________________<br />
The SEVIS release date <strong>for</strong> this student is __________________.<br />
(NCC is listed under “State University of New York” in the SEVIS system. NCC’s School Code is NYC 214F00587000)<br />
____________________________________ ___________________________________________________________<br />
Name of School Official/ Title<br />
Signature<br />
________________________________________________________________________________________________<br />
Phone Number of School Official<br />
E-mail Address of School Official<br />
_________________________________________________________________________________________________<br />
School Name & Address<br />
Mail or Fax This Form to:<br />
Office of International Student Affairs<br />
<strong>Nassau</strong> Community College<br />
1 Education Drive<br />
Garden City, NY 11530<br />
Phone: 516-572-7053 Fax: 516-572-9864 E-mail: isaoff@ncc.edu<br />
(Please provide a photocopy of student’s SEVIS I-20 if in F-1 Status.)<br />
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