1.
3. Please select the intended purpose for completing this verification form. Check all that apply:
I have entered the remaining courses and/or a comment in People Soft confirming that I have filled out
the F-1 Student Program Completion Verification Form.
________________________ __________________ _____________________ _______________
HCC Academic Advisor E-mail or Phone Signature Date (MM/DD/YY)
Completion Verification Form(CVF)
To Student: Please Complete Section 1-3 and email
to: hcc.f1advisors@hccs.edu. Section 4 must be
completed by an Academic Advisor at the
International Office.
HCC ID: ___________________________
SEVIS ID: ___________________________
Office Use Only _______ Initials Comments in PS
Rev 03/20
To request a new SEVIS Form I-20 for a new degree level/CEL or program. Starting semester:
To extend my SEVIS Form I-20.
To apply for graduation/secure permission for a reduced course load for the graduating semester and to
apply for
Post-Completion Optional Practical Training (OPT).
Other: ______________________________
After an Academic Advisor has signed the form, supporting documents (if required) may be submitted to your
DSO/International Student Advisor.
2.
________________________________________________________________________________________________
4. Academic Verification (Must be completed by an Academic Advisor)
The above named student is expected to complete the following program plan on the following date:
_________________________ ___________________ _______________ _________________________
Student’s Program Student’s Plan Cumulative GPA Completion Date (MM/DD/YY)
Subject
Course Number
Total Credits:
S
tudent Information:
_____________________________ __________________________ _______________________
Family (Last) Name
First Name
Date of Birth (MM/DD/YY)
Credit(s)
Comment(s)
_______________
click to sign
signature
click to edit
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