3100 Main Street, MC 1138, Houston, TX 77002 T 713.718.8521 F 713.718.2112 W hccs.edu 5/2013
The Department of Homeland Security requires you to maintain current contact information at all
times. Address changes must be submitted to our office within 10 days of the change (8 C.F.R. Part
265 and 8 C.F.R. § 264.1(f) (6).
Please completely fill out this form, save it, and then email it as an attachment to
int_student_svcs@hccs.edu.
THIS IS A PRIORITY!
_________________________ _________________________ _________________________
Family (Last) Name First Name Middle Name
1.) Current Home Address
Street _______________________________________________ Apt # ___________
City ____________________ State _______________ Zip Code__________
Country ___USA________
Phone ______________________ Email ____________________________________
2.) Current Mailing Address
Street _______________________________________________ Apt # ___________
City ____________________ State _______________ Zip Code__________
Country ___USA________
Phone ______________________ Email ____________________________________
*URGENT REQUEST FOR INFORMATION
HCC ID: ________________________
SEVIS ID: N______________________
