Fillable Change-of-Status Fee Payment Form (Houston Community College)

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Change-of-Status Fee Payment Form (Houston Community College)

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The Change-of-Status Fee Payment Form (Houston Community College) form is 1 page long and contains:

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  • 4 check-boxes
  • 8 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Houston Community College

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3100 Main Street, Houston, TX 77002 T 713.718.8521 F 713.718.2112 W hccs.edu/international Rev. 5/5/17
All fields marked with * are required and must be completed.
*1. Personal information
:
___________________________ ___________________________ _______________________
Family (Last) Name First Name Date of Birth (MM/DD/YY)
*2. Fee type:
.
___$75 Application Fee
*3. Payment type:
Please select one.
___Check ___Money Order ___Cashier’s Check
Note: HCC does not accept temporary or international checks. Checks or money orders should be
made payable to Houston Community College and have your HCC student ID written in a space on
the slip. Don’t forget to sign and date the document.
4. Attach the check or money order to the form and submit:
For Office use only:
OISS$SA Staff initials _____ Date______
Change-of-Status Fee Payment Form
*HCC ID: ______________________
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Change-of-Status Fee Payment Form (Houston Community College)

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Completed 6 October 2020

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