International Students - Address Verification Form

Students are responsible for locating and securing housing in Maryland before acceptance to Frederick Community College.

Student's Information

Student's First Name

Student's Last Name

Birthdate

Host's Information

This section is to be completed by the primary person with whom the student will live.

I certify that the above-mentioned student will reside with me at the address provided below for the duration of their studies at Frederick Community College.

Country

Street

City

Region

Postal Code

Host's Signature (type your full legal name):

Note: If student has no host, but will be leasing a property, please attach a copy of the lease agreement.