You must have JavaScript enabled to use this form. Name of Student SEVIS ID # if known What is the student's current SEVIS status? SEVIS start date at your institution? When was the student's last date of attendance at your institution? To the best of your knowledge, is the student in status and eligible to transfer to Doane University? - Select -YesNo Does the student's SEVIS record indicate any dependents? - Select -YesNo If so, how many? Was the student eligible for CPT and OPT? - Select -YesNo Transfer Release Date I certify that I am the above named student’s Designated School Official and the information provided on this form is correct. Name of Institution Name of Advisor Email Phone
