International Student Services

Int'l Student Deposit request

Current Student - Transfer Out

Email*

LSU ID*

Phone *

Todays Date*

Please fill out every field in the table below. We cannot process forms that are not completely filled out.

Your first name*

Your last name*

Your Degree*

Your Major*

Which quarter was/is your last quarter at LSU?*

What was/is your year at LSU?*

Which school will you be transfering out to?***

MUST fill out the Transfer Out Form** and submit it to our office before we can authorize your deposit.

Why did you decide to transfer to this school? Please Explain*

Would you like to use your deposit to pay for your outstanding balance?
*

Yes

Are you currently in the U.S.?
*

Yes

How did you pay for the deposit?
*

Credit Card

Check

Cash

Who should receive the refund?*

Birthdate or Social Security Number of the person receiving the funds

ADDRESS where should we mail the refund check to?*

(NOTE: If you paid with a credit card, your deposit will be refunded to the same card). If money is to be wired-transferred, please include in this box, Bank Name, Bank Address, Account Number, and ABA or SWIFT code (routing number). By providing this information, you hereby authorize us to deduct from your deposit a $45 fee for the bank transaction.

Do you authorize the Office of the Bursar (the money people) to release your deposit?
*

Yes

You MUST fill out the Transfer Out Form and submit it to our office before we can authorize your deposit.

La Sierra University - Where Academic Investigation, Christian Faith, and Service to Others Unite

International Student Services

Int'l Student Deposit request