International Student Handbook International Student Support SEVIS Transfer Out Release Request (from WWCC to another institution) Name: __________________________________________ Family (last) First Other
Date of Birth:______________
WWCC Student ID #__________________________________ SEVIS ID #:______________________________ Permanent (non-U.S. Address):____________________________________________________ Local Address:________________________________________________________________ ___ ___ ___ ___ ___
I plan to return home or travel abroad before enrolling at another institution. I do not plan to return home or travel abroad before enrolling at another institution. I am / was enrolled in a full-time course of study at WWCC. Dates of enrollment _________________ to _________________ I am to complete my WWCC degree requirements on ________________ (date) Degree_______________________________ I have applied for Optional Practical Training. Is OPT approved? If yes, dates for authorized training ______________ to _____________
I plan to transfer to _________________________________________________________ (Name and location of institution) I have been accepted for admission at that institution. _________Yes _________No I plan to begin at the new institution _________________________ Semester / Year Requested SEVIS Release Date (after all semester grades are due)___________________ Students on academic suspension are not eligible for transfer from WWCC. The SEVIS record of any suspended student will be terminated, and they will be subject to deportation.
_______________________________________ Signature of Student
______________________________ Printed Name
_______________________________________ Date
______________________________ Email (required)
Once we transfer your SEVIS record, it cannot be reversed. To return to WWCC, you would need to apply for reinstatement. Be very sure you are ready for transfer before you request it! Transfer out requests are reviewed by WWCC international student advisors.
Return form to: Registration & Records, Western Wyoming Community College, 2500 College Drive, Rock Springs, WY 82901, Phone: 307-382-1640, Fax: 307-382-1636.
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