International Student Services

70 Sip Avenue
Jersey City, New Jersey 07306
(201) 360-4136/4128 Fax: (201) 714-2136
Email: Internationalstudents@hccc.edu

Authorization to Release Form I-20

I ____________________________ _______, applicant for the _______________________

semester at Hudson County Community College, upon my acceptance I grant

__________________________________ permission to pick up my Form I-20, acceptance letter, and

instructions upon my arrival to the United States. He/she is my ________________________ and I trust

him/her, thats why Im authorizing the release of these important documents to be released to him/her.

I request evidence of identity (photo identification) to be provided at the pick-up time in order to avoid any

type of identity theft that may jeopardize my entry into the United State to pursue my education.

Signature

Date