Los Angeles Main Campus

505 Shatto Place, Suite 300
Los Angeles, CA 90020
Tel 213.382.1136 · Fax 213.382.1187

Buena Park Branch Campus

6131 Orangethorpe Ave., Suite 116
Buena Park, CA 90620
Tel 714.228.0307 · Fax 714.228.0308

www.nobeluniversity.edu

SEVIS Transfer-Out Form / Exit Survey

Complete this form if you are transferring out of Nobel University to another SEVP-certified school. Your responses will be reviewed by our DSO and your SEVIS record will be released based on the information provided.

Personal Information

Full Name*

Date of Birth*

Current SEVIS ID*

Current Email Address*

Phone Number*

Current Enrollment

Which campus are you enrolled at?*

Major*

Transfer Destination

Name of the institution to which you are transferring*

SEVIS Code for New School

Date Classes Start at New School

Upload Transfer Eligibility / Confirmation Form

Choose file (PDF, JPG, PNG, HEIC, DOCX — max 10MB)

Upload Letter of Admission / Acceptance*

Choose file (PDF, JPG, PNG, HEIC, DOCX — max 10MB)

Current Work Authorization

Current Work Authorizations

SEVIS Release & Reason

SEVIS Release Date (requested)

Transfer Reason Category

Reason for Transfer (free text)

Exit Survey

Please rate your overall satisfaction with the following areas:

Area	Poor 1	Fair 2	Good 3	Very Good 4	Excellent 5
Library Facilities
Computer and IT Facilities
Nobel University's Website
Parking
Student Health Services
Academic Advising
Career Development Services
Administrators and Staff were helpful
Students were treated with respect
Information and assistance were readily available
The Student Handbook was useful
Program requirements were explained and made available

What suggestions do you have for improving Nobel's student services?

What were some of your best experiences at Nobel University?

Would you recommend Nobel University to others?

YesNo

Overall satisfaction (1–5)

Additional feedback or comments

By submitting, you confirm that the information provided is accurate and complete to the best of your knowledge.