1. 3. Please select the intended purpose for completing this verification form. Check all that apply: I have entered the remaining courses and/or a comment in People Soft confirming that I have filled out the F-1 Student Program Completion Verification Form. ________________________ __________________ _____________________ _______________ HCC Academic Advisor E-mail or Phone Signature Date (MM/DD/YY) Completion Verification Form(CVF) To Student: Please Complete Section 1-3 and email to: [email protected]. Section 4 must be completed by an Academic Advisor at the International Office. HCC ID: ___________________________ SEVIS ID: ___________________________ Office Use Only _______ Initials Comments in PS Rev 03/20 To request a new SEVIS Form I-20 for a new degree level/CEL or program. Starting semester: To extend my SEVIS Form I-20. To apply for graduation/secure permission for a reduced course load for the graduating semester and to apply for Post-Completion Optional Practical Training (OPT). Other: ______________________________ After an Academic Advisor has signed the form, supporting documents (if required) may be submitted to your DSO/International Student Advisor. 2. ________________________________________________________________________________________________ 4. Academic Verification (Must be completed by an Academic Advisor) The above named student is expected to complete the following program plan on the following date: _________________________ ___________________ _______________ _________________________ Student’s Program Student’s Plan Cumulative GPA Completion Date (MM/DD/YY) Subject Course Number Total Credits: Student Information : _____________________________ __________________________ _______________________ Family (Last) Name First Name Date of Birth (MM/DD/YY) Credit(s) Comment(s) _______________