Career English Language Center
for International Students
Transfer-In Form
Dear Applicant:

The Career English Language Center for International Students (CELCIS) would like to welcome you to your program and to Western Michigan University. Before we can process your transfer, the U.S. Bureau of Citizenship and Immigration Services (BCIS) requires us to verify your status. Please complete Part 1 of this form and have your present Student Advisor complete Part 2.
PART 1 (to be completed by student)
Last Name:__________________ First Name:__________________ Date of Birth:__/__/__
Visa status ________ Visa Expiration Date:_______________ SEVIS #:________________
Country of Citizenship:____________________________
I grant permission for the information requested below to be released to the Career English Language Center for International Students (CELCIS) at Western Michigan University.
STUDENT'S SIGNATURE____________________________ Date_________
---------------------------------------------------------------------------------------------------------
PART 2 (to be completed by Student Advisor)

The above named student began our program on: month___/day___/year_____
and completed/terminated on: month___/day___/year_____

According to BCIS regulations, this student
____ is eligible to transfer   ( SEVIS transfer-out date is/will be ________________)
____ is not eligible to transfer because  ______________________________________________
____________________________________________________________________________

Additional Comments:___________________________________________________________
____________________________________________________________________________


_____________________________________
Designated School Official-Signature and Title
____________________________
Date
_____________________________________
Print Name
____________________________
Fax Number
 ____________________________
Telephone Number
____________________________
Email Address
___________________________________________________________________________
Institution's Address - please affix school seal
*Make sure to transer the SEVIS record to: Career English Language Center for International Students

?2001 Career English Language Center for International Students, WMU
   All Rights Reserved