Quarter Plan – Summer Quarter 2015 –
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 29th and end on August 21st.
*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 will take a Quarter Off. (Travel Dates: depart ________________ , return _____________ )
You are required to be outside the U.S. for the quarter. You are advised to purchase medical insurance for this quarter.
 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 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 29th, 2015.)
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.)
 I am graduating in Summer Quarter 2015 and enrolling in ________credits
(You must meet with an Academic Advisor and provide your Degree Audit or Application for Graduation.)
rev: 05/28/2015
Signatures
Date Received
Student signature: __________________________________
Date: _________________
International Programs signature: ____________________________
Advisor Notes: _________________________________________________
______________________________________________________________
Date: _________________