Transfer Out

Transfer Out

Name(Required)

First Last

UA Little Rock ID Number(Required)

Include T00

Visa Status(Required)

Email(Required)

Academic Classification(Required)

US Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Date To Have Immigration Record Transferred To Your New Institution(Required)

Please Note: After you submit this form, we will process your request and release your record on the date you choose. By submitting this form, you are authorizing us to release your record to your new institution.

New University(Required)

New University SEVIS Code(Required)

Please ask the immigration advisor at your new university for the university's SEVIS code.

Last Semester Attended at UA Little Rock(Required)

Admission Letter to New University(Required)

Max. file size: 49 MB.

Transfer In Form From New University

Once we process your transfer out we will email you a copy of the transfer in form that we have filled out. You can send the copy to your advisor at your new institution.

Max. file size: 49 MB.

Copy of Most Recent I-94(Required)

Max. file size: 49 MB.

Consent for Record Transfer

By checking the box below you are authorizing International Student Services to transfer your immigration record to the university your listed on this form. The record will be transferred on the date that you listed on this form.

I Agree

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Comments

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