Florida Form F 1 – Fill Out and Use This PDF

FLORIDA INTERNATIONAL UNIVERSITY

F-1 GRADUATE STUDENT TRANSFER FORM

All F-1 undergraduate student applicants transferring from a U.S. institution to FIU must complete this form. As part of the application process to Florida International University, we must determine and verify your F-1 status with your previous institution. Complete Section I and give this form to the international student advisor at your current/previous school to complete Section II. The completed form must be mailed or faxed to FIU’s Graduate Admissions Office at (305) 348-7441.

We cannot issue your I-20 for transfer until your SEVIS record has been released from your current institution and until we receive the completed Transfer Form verifying your status. Issuing your I-20 after the release date could take a few weeks. Please allow

ample time.

NOTE: All authorized employment at your current/previous school and/or any remaining OPT employment authorization based on your current/previous degree program will end once your SEVIS record has been released to FIU.

Section I – TO BE COMPLETED BY STUDENT (please legibly PRINT all information requested):

FIU Panther ID: _________________________ Admission Term: □ Fall			□ Spring		□ Summer: ___A/C ___B
Name:	______________________________	____________________		____________________
(As it appears in passport)	Last Name/Family Name/Surname	First Name			Middle Name
Email address:______________________________________		Phone number: ___________________________________

Which FIU Campus will you attend?  □ Biscayne Bay Campus, MIA214F00503001 (Journalism & Hospitality Management)

□FIU Downtown on Brickell, MIA214F00503003 (Graduate Business)

□Modesto A. Maidique Campus, MIA214F00503000 (all other programs)

I request and authorize my present international student advisor (or Designated School Official) to provide the information below as part of my application for transfer to Florida International University and to release my electronic SEVIS record.

______________________________________________________________	________________________________________
Signature	Date

Section II – TO BE COMPLETED BY THE INTERNATIONAL STUDENT ADVISOR:

Student’s SEVIS ID Number: ___________________________________

Last date the student was enrolled at your institution: ______________ Did the student graduate? (Y/N) ____________

Is the student currently in status? (Y/N*) ____________

*If no, has a reinstatement application been filed? (Y/N) _________ Date of termination in SEVIS: __________________

History of employment and reduced course load authorizations, if applicable:

1.	CPT:	Dates of authorization:	___________________________________	□ Full-time	□ Part-time
2.	OPT:	Dates of authorization:	___________________________________	□ Full-time	□ Part-time
3.	Medical RCL:	Dates of authorization:	________________________________________________________________

SEVIS Transfer Release Date: ________________________________
___________________________________________ ___________________________			______________________________
Name of PDSO/DSO	Title		Email
_______________________________________________________________		_________________________________________
Name of Institution		City	State	Zip Code
_______________________________________________________________		_________________________________________
Signature		Date
Mail to:	Florida International University, Graduate Admissions Office, P.O. Box 659004, Miami, FL 33265-9004
Fax to:	(305) 348-7441

Rev 07/24/2012jl