Virginia Tech Graduate School Transfer Form for International Students

International students transferring from another college or university in the U.S. must complete this form and request the Foreign Student Advisor at their current institution to provide the additional information requested below.

Address: (all correspondence will be mailed here):

________________________ ________________________ ________________________ ________________________

Date of Birth:

______ month

______ day

______ year

____________________ Country of Birth

____________________ Country of Citizenship

Curriculum name: __________________________________

Degree Desired:

[ ] Master's [ ] Doctoral [ ] Non-degree seeking

Semester studies will begin:
	[ ] Fall [ ] Spring	[ ] Summer-I [ ] Summer-II	Year: ________

Dependents
The following dependents will accompany me:

Name ________________ ________________ ________________

Place of birth ________________ ________________ ________________

Date of birth ________________ ________________ ________________

Relationship ________________ ________________ ________________

I request and authorize my present Foreign Student Advisor or Responsible Officer to provide the following information as part of my application to Virginia Tech.

___________________________ Applicant's Signature

___________ Date

To be completed by the foreign student advisor:

1.	Date of Admission to the U.S.:	_____________ month/day/year
	Admission # (I-94):	________________________
2.	Present non-immigrant classification:	________
3.	Completion date on document:	_____________
4.	Has this student maintained his/her non-immigrant status?	[ ]Yes [ ]No
	If answer is no, please explain: ______________________________________________________ ______________________________________________________
5.	Source and amount of this student's support:	__________________________________________
6.	Date of last attendance at your school:	__________________
7.	Please indicate dates of OPT/CPT or Academic Training, if applicable:	_______________________

Additional information:

_________________________________________________ _________________________________________________

__________________________________________ Name and title of school official	__________________________________________ __________________________________________ __________________________________________ Name and address of school
_________________________________ Signature	__________________ Date