Sevis Form I-20 Application - Hcc
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3*HCC ID: ___________________________
SEVIS Form I-20 Application
All fields marked with * are required and must be completed
*1. I am applying as:
New International Student:
I live outside the U.S. and want to attend HCC on an F-1 visa.
Transfer International Student:
I am an F-1 student in the U.S., and I want to transfer to HCC.
Change-of-Status Student:
I am in the U.S. and wish to change my status to F-1.
I have already applied to HCC but need to change my start
Defer Attendance Student:
date/semester
Change of Educational Level
A current F-1 student at HCC who completed my program and
Student:
would like to enroll in another degree plan (AA to AS or AAS)
*2. Specify your new admission term/semester
Fall
Year_____
Spring Year______
Summer
Year_______
*3. Program Information: Type of degree you are seeking
English Language Training
Associate in Arts
(Associate degree is designed for transfer towards a higher degree in the chosen program of study)
Associate in Science
(Associate degree is designed for transfer towards a higher degree in the chosen program of study)
Associate in Applied Science: *Major/program of study ______________________________________
*4. Student information
Please ensure your name is spelled correctly. Per guidelines issued by the Department of Homeland Security
(DHS), the passport has been designated as the official name-giving document. Therefore, please write your
name exactly as it is shown on your passport.
_____________________________
___________________________
___________________________
Family (Last) Name
First Name
Middle Name
______________________ _____
___________________________
____________________________
Date of Birth (MM/DD/YY)
Age
Country of Birth
Country of Citizenship
Mailing address:
______________________ ______
________________________
_____________________
Street
Apt.#
City, Region, Postal Code
Country
Address outside the U.S. (Home Country)
______________________________
________________________
_____________________
Street
City, Region, Postal Code
Country
Email __________________________
Phone (____) _____ _____
_____I certify that I will have graduated High School by the first day of attendance at HCC.
Student under the age of 18 must provide documentation to prove that he/she has achieved the equivalency of a U.S. high school
diploma in his/her country by submitting a transcript evaluation along with their application to OISS&SA. Check HCC website for
accepted evaluation agencies.
Rev. 03/2017
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