REQUEST FOR F-1 TRANSFER INFORMATION


ATTENTION APPLICANT: Only F-1 transfer students in the U.S. need to complete this form.
Please submit this form to the last U.S. institution you attended.

ATTENTION DSO -- PLEASE RETURN THIS COMPLETED FORM TO:

Admissions Office
MANHATTAN CHRISTIAN COLLEGE
1415 Anderson Ave., Manhattan, KS 66502-4081
(877) 246-4622 FAX: 785-776-9251 / E-mail: admit@mccks.edu
Web: www.mccks.edu/admissions/international.html


PART I: TO BE COMPLETED BY THE F-1 TRANSFER STUDENT
Dear Foreign Student Advisor / DSO:

This is to inform you that I intend to transfer to Manhattan Christian College in the __________ (e.g. Fall, Spring, Summer) semester of the year _______ (e.g. 2006, 2007, etc.). By my signature below I authorize you to release the information requested below to Manhattan Christian College. Please complete the information and return it directly to the above address as soon as possible. Thank you.

Name (printed) __________________________________________________________________
  (Last / Surname) (First) (Middle)  
Signature of Student _____________________________________________ Date:___________


PART II: TO BE COMPLETED BY THE DESIGNATED SCHOOL OFFICIAL

INS Admission Number of Student: ___________________________________

_____ The student is in lawful F-1 status according to INS regulations.
_____ The student is not in lawful F-1 status according to INS regulations in my records for the following reason(s):
(use back of form if more space is needed for explanation) ___________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

(Note: I am enclosing information I have available that would be helpful in a reinstatement application.)
The student was last enrolled in the _______________ semester (e.g. Fall, Spring, etc.) of the year ____________ (e.g. 1999, 2000, etc.).

The student has been authorized the following Practical Training benefits:
OPTIONAL: Full-time: _____
months _____days     Part-time: ______months ______days
CURRICULAR: Full-time: _____
months _____days

Signature of DSO _______________________________________________ Date: _______________

Name (printed) _________________________________________________ Phone:______________
Title and School ____________________________________________________________________

(Revised 04/27/2006)