Initial Student SEVIS Record Transfer-Out

Before completing this form, you must have applied and be admitted to another U.S. educational institution.

1. Student Last Name *

2. Student First Name *

3. Student Date of Birth (mm/dd/yyyy) *

4. Student Texas State ID (A0...) *

5. Student SEVIS ID # (N0...) *

6. Student Texas State Email *

7. Student Personal Email *

8. Letter of Admissions From Your New School *

9. Transfer Form from your new school that must be completed by a Texas State DSO. If the form is online, email the form including any login details to international@txstate.edu. (if applicable)

SEVIS Release Date Request:

Latest US Arrival Date

You must have entered the US before you request your transfer out.

Please release my SEVIS record on the following date (mm/dd/yyyy): *

I am requesting to transfer out due to: *

Begin a new degree program (specify major below)

Personal Reason (specify below)

Financial Reason

Other (specify below)

Specify reason (if new degree, specific degree/program/major and level) *

Information About Your New School

Name of School (some schools have multiple campuses): *

SEVIS School Code (ask your new school for this information): *

I, hereby, notify ISSS of my intention to transfer to the above school.

Signature: *

Date: *

Immigration Check-In

In order for our office to complete your transfer we must first SEVIS register you with Texas State University and then we will complete the transfer out. In order to SEVIS register you you will need to complete immigration check-in by uploading the following documents and providing us with your local address in the US.

Color Copy of Visa

Most recent I-94 Record

Access here: https://i94.cbp.dhs.gov/I94/#/recent-search

Signed I-20

Local U.S. Address

Street Address: *

Apartment/Room Number:

City: *

State/Province: *

Postal/Zip Code: *

US Phone Number

Name of Recruiting Agency (not agents name) *

If did not work through recruiting agency select "none"

Texas Review

KC Overview

University Study

Other

None

If "other", Name of Recruiting Agency (not agents name) *

Withdrawing from Classes at Texas State

Remember that it is your responsibility to withdraw from classes. Please use the following link to access the Registrars Office withdraw request: Online University Withdrawal form.

If you happen to see this, do not fill this field.