HCC ID:
SEVIS ID:
International Student Check-In Form
Welcome to Houston Community College. We look forward to serving you and your educational needs.
In order to complete the required check-in, please complete ALL fields below.
Please type the information, then print and sign the document.
Name:
Last
First
Middle
Per Department of Homeland Security, the passport has been assigned as the name giving document. Please
make sure your listed name matches exactly your passport.
Date of Birth: Country of Birth: Country of Citizenship:
mm/dd/yyyy
Houston (U.S. Home & SEVIS*) Address: The address where you are living in Houston must be up-to-date
at all times. Any time you move, this information must be updated with-in 10 days. You may update this
information in the student system under “SEVIS address” or contact your DSO to make changes.
Street
Mailing Address*:__ Same as the above
Street Apt#
Permanent Address outside the U.S. (Home country)*:
Street City , Region, Postal Code Country
/ /
U.S. Home telephone* U.S. Cellular* Email Address*:
Emergency contact*: _____________________ ____ /
_______/__________________
First and Last Name
Relationship
Telephone
Print your name Signature Date (mm/dd/yyyy)
Please note: all fields marked with (*) can and should be updated by signing into your Student System>Profile
3100 Main Street, MC 1138, Houston, TX 77002 T 713.718.8521 W hccs.edu Rev. 11/2019 Page 1 of 1
click to sign
signature
click to edit
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