International Student Transfer Recommendation Form

International Student Transfer Recommendation Form

Please submit this form to the international student advisor of the institution you currently attend or most recently attended.

Name_______________________________________________________________________________
Last First Middle
Admission (I-94 card number) ___________________________
Student ID #_____________
Address_____________________________________________________________________________
___________________________________________________________________________________

I grant permission for the information requested below to be released to Philadelphia University.
___________________________                                         ________________
          Student’s Signature                                                                        Date
____________________________________________________________________________________________

TO BE COMPLETED BY THE DESIGNATED SCHOOL OFFICIAL
The above named student has applied for admission to Philadelphia University. We request confirmation of his/her status before completing a transfer.
Current immigration status:
___ F-1          ___ J-1           ___ Other ________ I-94 card expiration date _______________
Degree level being pursued at your institution _______________
Date of last attendance at your school __________________
Has the student been maintaining full-time status at your institution? __ YES   __ NO
To the best of your knowledge, is the student currently in status?   __ YES   __ NO
Please indicate the dates of any practical training in which the student has participated:
Curricular _____________Optional ___________ J-1 Academic ____________
Comments ____________________________________________________________________________________
_____________________________________________________________________________________________

______________________________     ______________________________
Name and title of DSO completing this form                          Signature

____________________________________                    ______________________
                  Name of Institution                                                 Date
_____________________________

_________________________________                           ______________________
                                 Address                                                                 Telephone Number

Please return completed form to:
Philadelphia University
Office of Admissions
School House Lane & Henry Avenue
Philadelphia, PA 19144 USA