Legal Waiver and Release Form
The Office of International Services & Programs (ISP) at Houston Community College (HCC)
provides staff for the purpose of advising, guiding, and supporting international students through the
admission and immigration processes. The Principal Designated School Official (PDSO), Designated
School Official/ International Student Advisor (DSO/ISA), Counselors, and other employees are trained
to work with international students to ensure a smooth and successful transition to HCC. The primary
goal of ISP is to provide information and support to F-1 and M-1 students seeking admission to HCC.
The PDSOs, DSOs, and ISAs are the liaisons between the school and the United States government
regarding all relevant issues relating to this group of international students, and must ensure that the
school maintains its eligibility to admit international students.
The law requires HCC to collect the following information from students regarding F and M visas:
Biographical information, visa classification and date of issuance, and any change or extension of visa
classification, academic status (e.g. full-time enrollment), and any disciplinary action taken by the
school as a result of a crime committed by the international student. All information provided is for
educational purposes only.
I understand that in consideration of my acceptance to HCC, I have an obligation to meet with a
DSO/ISA for advising during one of the offered information sessions. The DSO/ISA is responsible for
reporting and updating information with the U.S. Citizenship and Immigration Service (USCIS) relating
to the immigration status of international students. The DSO/ISA is in no way an “Advocate”, or a
“Representative” for the student in a legal capacity. All matters relating to the immigration status of the
student is the student’s responsibility, and not the responsibility of HCC.
I hereby release all employees of HCC of any and all liabilities resulting from the advice given by a
DSO/ISA or staff of the ISP. I understand that DSO/ISAs and other HCC employees do not provide
legal advice to students. If a student has an immigration issue that requires legal advice, the student is
encouraged to seek legal counsel from a qualified immigration attorney not affiliated with HCC.
THE UNDERSIGNED HAS READ THE ABOVE WAIVER AND RELEASE, AND SIGNED IT
VOLUNTARILY
I agree to the conditions stated above. (This declaration must be signed by the
student, or a parent/guardian/sponsor, if the student is under the age of 18.)
__________
___________________ ____________________
Student’s Name (Print) Date of Birth (MM/DD/YY)
__________
___________________ _______________________
Student’s Signature Date (MM/DD/YY)
Parent/Guardian/Sponsor Name (Print)
Parent/Guardian/Sponsor Signature
Interpreter’s Signature (where applicable)
Rev. 6/2020
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