International Transfer Approval Form

International Transfer Approval Form This form is required of all International students who are applying for transfer to Delta College and must be completed by the applicant and the school they are transferring from. Section A • To be completed by the Applicant Please type or print clearly. Please sign prior to delivering to your home institution. Your signature releases your educational records to Delta College. You must still request your transcripts be sent by the bursar or registrar. Name (as it appears on your passport)

Last (family name/surname)

Student Number (for institution below)

First (given name)

Middle Name/s

Signature

Section A • To be completed by an international student advisor Advisor Name Advisor Title Institution Name

Advisor Phone Number (

)

Address of Institution Visa Information F-1 Admissions Number (from I-94) SEVIS ID# Date of initial entry into U.S.

I-94 valid until

Did your institution create an I-20 for this student?

Is the Student Currently “In-Status”?

Other Information Was the student ever on academic probation?

Was disciplinary action ever taken against the student?

Is the student academically eligible to continue at your institution?

Has the student met all financial commitments to your institution?

Advisor Signature

Date

Please complete and return with copies of all pertinent educational records to: Delta College, Admissions, 1961 Delta Road (H-Wing) University Center, MI 48710 USA (989) 686-9093 • admissions@delta.edu