International Student Services
Student Information Form
For F-1 students seeking admission and an I-20
Please complete this form and return it to the International Student Services office. All fields are
required. Completed forms may be scanned as a PDF and emailed to international@hfcc.edu.
Student Name (as it appears in your passport)
Last /Family/Surname:
First/Given Name:
Middle Name:
Date of Birth:
Month Day Year
Country of
Birth:
Country of Citizenship:
City of Birth:
Program of study at HFC:
Are you bringing a spouse or child along with you?
Yes
No
Please explain:
Address in Country of Residence (non-U.S. address - full address is required)
House/apartment number: Street Name:
City: State/Province/District:
Country: Postal Code:
If no postal address, please provide a description for mailing purposes:
Address in the United States (while attending school—if known at this time)
House/apartment number: Street name:
City: State: Zip code:
U.S. Phone Number:
Emergency Contact Person in the United States
Name:
Relationship to Student:
Full address:
Phone Number: E-mail address:
Please permit the contact person to handle my admission process: Yes No
For Canadian Citizens only:
While attending school I will live in: Canada United States
I will attend school: Full-time Part-time
Student Signature: Date:
Email Address:
