Transfer Form

LANGUAGE STUDIES INTERNATIONAL 1706 5th Avenue San Diego, CA 92101-2700 Ph.: +1-619-234-2881 Fax: +1-619-234-2883 Email: [email protected] www.LSI.edu www.LSI-America.com

To: Designated School Official From: Nicole Brokaw – LSI San Diego All applicants to Language Studies International who are already on an F-1 student visa must present this form for completion by the last authorized school of attendance. The designated school official must answer the following questions in order for the student to be considered for acceptance. 1. Name of Student:__________________________________________________________________ 2. Admission number:_________________________________________________________________ 3. SEVIS I.D. Number: ________________________________________________________________ 4. Name of school:___________________________________________________________________ 5. Type of program: __________________________________________________________________ 6. Dates of attendance:________________________________________________________________ 7. Last date of attendance: _____________________________________________________________ 8. Did student maintain full-time status?___________________________________________________ If no, reason: _____________________________________________________________________ 9. Does the student have an outstanding financial obligation to your school? ______________________ 10. SEVIS Transfer Release Date: ________________________________________________________ Please supply any additional information or comments if applicable. ______________________________ ____________________________________________________________________________________

IMPORTANT SEVIS INFORMATION When transferring out students in SEVIS, please note that there are four Language Studies International schools listed. The transfer should be made to Language Studies International San Diego. School Code: SND214F00320000. Thank you. ________________________________ Signature of Designated School Official ___________________ Phone Number

___________________ Printed Name of DSO

______________ Date

_______________________ Fax Number

Please fax to:

Language Studies International, San Diego Fax: 619-234-2883