Exit Survey for Students Holding F-1 Visa
Student Name:____________________________________________________________
Student ID #_________________________Nationality:__________________________
Date:___________________________________________________________________
Reason For Departure: (check all that apply)
_____ Academic Suspension
_____ Financial Reasons
_____ Employment
_____ Family Issues
_____ Disciplinary Suspension
_____ Health Reasons
_____ Visa Issues
_____ Completion of degree
_____ Transfer to another institution within the U.S. (Name of Institution____________)
_____ Transfer to another institution outside the U.S.
_____ Other (please describe) ________________________________________________________________________________________________________________________________________________
Please share your comments on how the University of Central Oklahoma might
improve its service to the international students:
________________________________________________________________________________________________________________________________________________
Signature________________________________________________________________
International Office, University of Central Oklahoma, 100 N. University Dr,
Edmond, Oklahoma 73034-5209
Tel. (405) 974-2390, Fax: (405)974-3842
Revised June 27, 2008