Quarter Plan – Summer 2016 –
College Students (RETURN to International Programs)
Failure to turn in on time could affect your Immigration Status
If you change your plans, you will need to complete an updated form and submit it to the IP office
Student Information
Student ID:
Family Name:
Given Name:
Date of Birth:
Phone number (cell):
Phone number (home):
Visa type:
Email address:
 I will attend full-time in Summer Quarter. Classes begin on June 27th and end on August 19th.
*You must register for at least 12 credits. (Only 5 credits may be online or Distance Learning)
*If you are a concurrent student enrolled at another school, please staple a copy of your schedule to your quarter plan.
 I am graduating in Summer Quarter 2016 and enrolling in ____credits. (1 class must be in classroom
format)
(You must meet with an Academic Advisor and provide your Degree Audit or Application for Graduation.)
 I will take a Quarter Off. (Travel Dates: depart ________________ , return _____________ )
You must provide us with a plane ticket and are required to be outside the U.S. for the quarter. You are advised to
purchase medical insurance for this quarter. You must leave the U.S. before the Quarter begins.
 I will take a Vacation Quarter in the U.S.
You plan to stay in the U.S. and have been a full-time student for 3 previous consecutive quarters
Enrolling in under 12 credits is considered a vacation quarter. YOU MUST purchase medical insurance.
 I am transferring to another college/university (You must SUBMIT your ACCEPTANCE LETTER & TRANSFER
OUT FORM to the IP Office before Monday, June 27, 2016.
Name of College: _______________________________________
Reasons for transferring: ___________________________________
(Please see an advisor and submit a Transfer-Out Form and Acceptance Letter from your new school)
 I will return home and NOT continue study at NSCC.
Reasons for returning home: _______________________________________________________
(You MUST provide a copy of your plane ticket.)
Signatures
Student signature: __________________________________
International Programs signature: ____________________________
Advisor Notes: _________________________________________________
Rev: 05/04/16
Date
Received
rev:
11/05/2015
Date: _________________
Date: _________________