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Name *
Request Date *
Present Address *
Phone *
Email *
Desired Completion Date (Last date of Attendance) *
SEVIS #
Reason(s) for Completing from AOI *
Satisfactory completion of study (go to I)Return to native country (go to I)Transfer to another English language school (go to II)Transfer to college/university (go to II)Change of Visa Status (go to IV)
Name of Country
Date of Departure
Flight Number
Name of school
Address
Phone
Note: You must submit the Transfer Form and Acceptance Letter from the new school to AOI. Also, read the TRANSFER CLAUSE on page 2 of the I-20.
New Visa Type
Date Obtained
Note: You must provide AOI with proof of visa status change from USCIS (documentation showing your new status).
1) I must change status or transfer before I terminate from AOI as indicated on the Form I-20.
2) I will not work illegally in the United States.
3) I am following all laws/regulations of the United States and AOI policies.
All the information on this form is about myself. It is true and correct to the best of my knowledge. I release AOI from any and all financial or legal obligations.
Date *
Student Signature (type full legal name) *
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