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:
Please select fee type(s).
___$75 Application Fee ___$50 Orientation Fee ___$50 Deferment/Reprint 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:
By mail to:
Office of International Student Services & Study Abroad
Houston Community College
3100 Main St., MC 1138
Houston, Texas 77002
USA
OR in person to:
Office of International Student Services & Study Abroad
3200 Main St.
Houston, Texas 77002
(Entrance is located at the intersection of Elgin and Travis, on the street level of the parking garage)
International Student Fee Payment Form
*HCC ID: ______________________
3100 Main Street, Houston, TX 77002 T 713.718.8521 F 713.718.2112 W hccs.edu/international Rev. 10/3/16
