INTERNATIONAL 
TRANSFER FORM 


Orange CountyCommunityCollege 


Admissions 
Office 


Tel: (845) 
3414030 
www.sunyorange.edu 

Fax: (845) 
3428662 
apply@sunyorange.edu Email 


Transferprocedure: 


If 
you plantotransfer 
toSUNYOrangefromanother 
schoolinthe 
UnitedStates, 
you must 
usethis formtonotifyus 
("your 
transfer 
school") 
of 
your 
current statusat another 
school 
intheUnitedStates andyour 
intent totransfer 
toSUNY 
Orange. 
Atransfer, 
accordingtotheImmigrationService, 
is anychangeof 
schools, 
whether 
you complete 
your 
current 
programandbegina 
newprogramat Orange, 
or 
whether 
you will 
continuethesamedegreeprogramhere. 


Please complete the following information and 
give it 
to the DSOat 
yourpresent 
school. 


Student Name: 
Admissions number: 
SEVIS 
ID# (if 
available): 
Telephone 
number: 
EMail: 


I 
give permission 
formy present 
schoolto release the information requested on this form: 


Signature: Date: 


TO BE 
COMPLETED BY THE DESIGNATED SCHOOL OFFICIAL 


This 
student 
has 
beenaccepted to Orange CountyCommunityCollege. 
We request 
confirmationofhis/her 
status 
before completing a transfer. 


SEVIS 
ID Number: 
Dateof 
last 
attendanceat your 
school: 
Datecurrent programends: 
Release 
datefor 
transfer 
out: 
Has student maintainedF 
1 
statusat your 
institution: 


YES 
NO 
Pleaseindicatethedates of 
anypracticaltrainingin 
whichthestudent has participated: 
Name 
of 
DSO completing 
this form(please 
print) 
Signature 
Name 
of 
Institution 
Street Address 
Title 
of 
DSO completing 
this form 
Date 
Telephone 
number 
Fax 
number 
City, 
State, 
Zip 

Please faxthis 
completed formtothe Orange CountyCommunityCollege 
Admissions 
Office 
at 
(845) 
3428662.