Drew University
International Student Transfer Form
In order to transfer your Immigration record from your current U.S. institution to Drew University, please
complete Section 1 and ask your international student advisor to complete the authorization below (Section
2). Please also include copies of the following documents:
1) Data Page from Passport (including the passport expiration date and the student visa stamp)
2) Previously issued I-20’s
Section 1: Student Information
Student Name:______________________________________________________________________
Degree Program at Drew:______________________________________________________________
Start Date (include year): Fall_____________
Spring_______________
Student ID Number_______________________ Date of Birth_________________________________
Country of Birth____________________________ Country of Citizenship_______________________
Email: _____________________________________ Phone:___________________________________
Do you have dependents? Yes___________ No______________
Do you plan to leave the U.S. before your program start date at Drew? Yes_____ No_______
If yes, what date do you plan to leave the U.S.?_______________________________________________
I authorize the international student advisor to provide the requested information below as a part of my
application to transfer to Drew University.
_____________________________________________________________________________________
Student Signature
Date
Section 2: Previous School Information (To be completed by the DSO/RO)
The student above intends to transfer to Drew University. The information you provide will help us to
complete the transfer process.
SEVIS ID#________________________________
Transfer release date in SEVIS__________________
Current Immigration Status: F-1 _____ J-1______ Name of J-1 Sponsor___________________________
Dates of enrollment at your institution:________________to___________________________________
Is the student in status? (Y/N) If No, please explain: __________________________________________
_____________________________________________________________________________________
Name and title of SEVIS Advisor___________________________________________________________
Name of Institution ____________________________________________________________________
Signature______________________________________
Date________________________________
Email_____________________________ Phone_______________________
Please complete the following information and email, fax, or mail the completed form to International
Student Services.
International Student Services, Brothers College, Room 119
Madison, NJ 07940, Tel: 973.408.3182, Fax: 973 408 3768, Email: [email protected]
Rev. 1/2012