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To be completed by Student:
Please submit this form to your cunent Foreign Student Advisor fs1 6smFletion.
Please note: students in J-l status should contact the International Offrce directly for information on school transfer. The J
program number for the University of Bridgeport is P-1-03391.
3. Has the student maintained legal status with USCIS? yesR noI
4. Is the sfudent eligible to continu e at your school? yesflr noE
If no, why not?
5. If in F-l status, has the student used any periods of CPT or OPT? yesn noFr
If yes: specify dates, part time/full time, type and degree level
6. Has the sfudent had authorLzation for a Reduced Course Load? yesFF nou
If yeq: please spEcify,category, degree levgl and dates authorized
'lQ/tt 4a q(aErtt JmnrvtEtrq {(fiur<plts?irp! ,r3/,
ft!4sf6,4?s
7, Has the student fulfilled his/her financial obligations? yesx noI
8. If in J-1 stafus, what is the Exchange Visitor's category:
Has the Exchange Visitor used any periods of Academic Training: yes n noE
If yes, from to_ _
T ort the transfer request?
Institution: Tel :
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