Back to International Student ProgramNOTICE OF INTENT TO TRANSFER
| Student's Last Name | First Name | Middle Name |
| ________________________ |
_______________________ |
_______________ |
Birth Date:____________________
Dear Foreign Student Advisor:
This is to verify that the above named student
has applied for admission to Los
Angeles City College. Please provide the following information:
Name of Institution _________________________________
Address __________________________________________________________
Telephone __________________________________________________________
Fax __________________________________________________________
SEVIS School File Number ________ 214F ________.
SEVIS ID# ________ .
SEVIS Release Date ________.
Dates of current session or last session attended:
From_________ to__________
Anticipated last date of attendance: ________________
Student is currently in status_________ not in status______
If no, please explain __________________________________________________________________
Your cooperation is appreciated.
Dr. R. Brady, Director, International Program, LACC
Signature ____________________________
Official college seal or stamp
Print name ___________________________
Date ___________________________
Official college seal or stamp
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