SEVIS Transfer Out Request Form

Last Name
First Name
Middle Name
CWID/ Banner ID
Phone Number Phone Number - ### - ### ####
Email Address
Current U.S. Address Current U.S. Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Campus

Campus Stillwater Tulsa
Are you a Graduate or Undergraduate Student?

Are you a Graduate or Undergraduate Student? Graduate Undergraduate
Are you a sponsored student (ex- SACM/ Fullbright etc)?

Are you a sponsored student (ex- SACM/ Fullbright etc)? Yes No
Are you on an athletic scholarship?

Are you on an athletic scholarship? Yes No
Semester You Plan to start at the new school
Spring Summer Fall
SEVIS ID
immigration status

immigration status F-1 Visa (I-20) J-1 Visa (DS-2019) Other Other
Last Semester Enrolled at OSU
Spring Summer Fall
Are you enrolled in classes for the future semester in OSU?

Are you enrolled in classes for the future semester in OSU? Yes No
It is the Student's responsibility to drop classes through the Registrar Office
Preferred SEVIS Release Date Preferred SEVIS Release Date / MM / DD YYYY

What date would you like your SEVIS Record to be sent to the school?
Are you currently on OPT?

Are you currently on OPT? Yes No
I accept that the day before above-mentioned date will be my last day of employment on OSU OPT I-20.
My employer has been informed that the day before the stated date will be my last day of work on the OSU campus I confirm that all my OSU courses for future semesters have been dropped
If you have any special request after the last day of semester, Please write it here.
What school do you plan to transfer to?
School Name
Are you planning to leave before the end of the semester?

Are you planning to leave before the end of the semester? Yes No
School Address School Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
SEVIS School Code
Admission Letter

Attach Files
Documents from the other school that should be filled by OSU

Attach Files

SEVIS Transfer Out Request Form

SEVIS Transfer Out Request Form

It is the Student's responsibility to drop classes through the Registrar Office

What school do you plan to transfer to?