Advisor.report 04062009

F-1 INTERNATIONAL STUDENT ADVISOR REPORT FORM Dear Prospective Student, To complete your transfer application to Houston Community College and issue you the SEVIS I-20 form, we must have an F-1 International Student Advisor’s Report form completed by the institution you are currently attending. Your signature serves as authorization for information to be released to HCC.

____________________________________________________________________ Student’s last name First name Middle Name

____________________________ Country of Citizenship

________________________________ Students Signature

____________________________ Date

________________________________ HCC Student ID Number

Designated School Official: Please answer the following questions about the student named above and return form to: Houston Community College Student Support Office/ International Student Services P. O. Box 667517 MC 1138 Houston, TX 77266-7517

Phone: 713-718-8521 Fax: 713-718-2112

1. Type of Visa________ 2. Dates of enrollment: from_______________________ to ______________________________ 3. Program of study______________________ 4. Estimated date of completion ___________________________________ 5. Is the student currently in legal status with immigration? Yes________

No_________

6. Can student return to your institution?

No_________

Yes________

If no, why not?______________________________________________________________________________________ 7. Off-campus employment authorization?

No ______

Yes ______

If yes, what kind and dates?____________________________________________________________________________ 8. Previous authorization for reduce course load?

No ______

Yes _______

If Yes, what kind and dates?____________________________________________________________________________ 9. Other comments _____________________________________________________________________________________ SEVIS No.: __________________________________________

Date Released: ____________________________ HCC School code: HOU214F00354000 (If student has not submitted proof of acceptance to HCC, a letter of acceptance can be submitted by a HCC DSO AFTER this form is received)

___________________________________________________ Name of Institution

____________________________________________ Date

___________________________________________________ Name of School Official (Please Print)

____________________________________________ Signature

_________________________________

__________________________________

_______________________________________________________________

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Email: Updated: 04/06/2009