REQUEST: SEVIS TRANSFER FORM

Buckman Center for Global Engagement

Request: SEVIS Transfer Form

Family / Last Name:

First Name:

Country of Citizenship:

Rhodes ID Number:

SEVIS Number:

First Semester at Rhodes:

Date of Birth:

Enter as MM/DD/YYYY

Degree Objective:

Declared Major:

Undeclared

Current Visa Status:

Expected Graduation Date:

Rhodes Email Address:

Street Number and Street Name

Rhodes Box Number

City

State/Province

ZIP/Postal Code

Telephone Number:

Information about the educational institution to which you are transferring:

Name of School:

School Address:

SEVIS School Code:

SEVIS Release Date

SEVIS Release Date (OLD):

*The release date is the date when your SEVIS record will shift from Rhodes College to your new institution. The transfer date should allow for the following to happen:

*Time to complete all study at Rhodes College

*Time for travel outside the United States, if applicable

*Time for working during school vacation, if applicable

The Buckman Center will take your requested Release Date into consideration

THIS PORTION TO BE READ AND SIGNED BY THE STUDENT

I have read and understood the SEVIS regulations indicated above.
I am aware that the release of my SEVIS number to the aforementioned institution is final and changes
CANNOT be made by Rhodes after the release date. I also understand that this transfer merely applies
to my SEVIS record and will not automatically cancel any registrations or contracts I have at Rhodes for
classes, housing, etc. IT IS MY RESPONSIBILITY to withdraw from any classes I have registered for,
cancel any housing, etc., as The Buckman Center will not do this on my behalf.

I have read and understood the SEVIS regulations indicated above.

Student Signature

Sign above

Name

Date

Enter as MM/DD/YYYY