State College of Florida Visa Clearance Form
To: All international applicants currently on F-1 Student Status and currently in
the United States.
As part of the application process to transfer to State College of Florida, you must
complete Section 1 and your current or previous school complete Section 2, to show
you are currently or were in status with SEVIS and then submit the completed form
to the Coordinator of Educational Records, State College of Florida, 5840 26th Street West, Bradenton, FL 34207; OR Fax to: (941) 727-6380.
Section 1 - To Be Completed By Student:
I request and authorize my present International Student Advisor (or equivalent campus
officer) to provide the information below as part of my application for admission
to Manatee Community College.
Signature SCF G00# Expected SCF
Entry DateStudents Name:
Last Name First Middle Country of Citizenship
Present Address: __________________________________________________________
Street and Apartment Number City & State
Section 2: To Be Completed By The International Student Advisor At Your Current School:
1. Is this student on the F-1 or F-2 (circle one) status?
2. I-94 Admission Number: _____________________________
3. Date of initial entry into the United States: __________________________
4. Type of visa at entry: _______________________________
5. What is the completion date in Section 5 of the current I-20? ________________
6. For which term was the student last enrolled full time at your institution?
7. To the best of your knowledge, is this student currently "in status" with INS?
Yes or No (please circle one) In no please explain: ___________________________
8. Has the student ever been granted any kind of practical training: Yes or No
If yes, state kind and duration: ____________________________________________
9. What is the SEVIS Release date from your school? _____________________
10. Did the student complete his/her program by the listed Release Date? ________
I hereby certify the preceding information to be correct:
Signature of School Official Name, Title, and Date
Name and Address of Institution City State
This form must be returned before final Action can be taken on your Application!