System Application Form

UNIVERSITY OF HAWAI'I System Application Form

PIEASE TYPF. OR PRINT CLEARLY IN INK. COMPLETE BOTH SIDES OF THIS FORM, DETACH, AND SUBMIT TO THE CAMPUS ADMISSIONS OFFICE.

SEMESTER ENTERING SOCIAL SECURITY NUMBER LEGAL NAME: FAMILY/LAST FIRST/GIVEN FULL MIDDLE ANY OTHER NAMES USED Summer ON TRANSCRIPTS. ETC. Fall Mr. To.ks Omishakin. o·-rertor., Catifom:ia Depanmen1 of Transportation Mr. To.ks Omishakin. o·-rertor., Catifom:ia Depanmen1 of Transportation 1120 · Street Spring 1120 · Street Sacramento. CA '958 ~ 4 Sacramento. CA '958 ~ 4

CURRENT MAILING ADDRESS NUMBER STREET CITY OR PROVINCE STATE OR COUNTRY ZIP/POSTAL CODE UNTIL PHONE month/day/year (home)

(cell)

PERMANENT MAILING ADDRESS NUMBER STREET CITY OR PROVINCE STATE OR COUNTRY ZIP/POSTAL CODE (work)

GENDER BlRTHDATE BIRTHPLACE CITIZENSHIP NON-US CITIZEN-VISA TYPE (attach copy of green card, if any) month/day/year LH FEMALE (state or foreign country) DUSA D STUDENT VISA D Permanent Resident-DATE REC DMALE D OTHER _ /_ _/_ _ (specify country) D OTHER (specify)

WERE ANY OF YOUR ETHNICITY (check one) RACE [select one or more) See instructions for listing E-MAIL ADDRESS ANCESTORS HAWAIIAN? DHispanic or Latino AA Al CA CH Fl GC HW IN IP D Yes D No Hispanic or Latino KO LA MC OA OP SA TH TO VI NAME OF HIGH SCHOOL GRADUATED/WILL GRADUATE FROM STATE/COUNTRY MONTH/YEAR GRADUATED/WILL GRADUATE

LIST EVERY COLLEGE, UNIVERSITY. BUSINESS AND POST-SECONDARY SCHOOL ATTENDED, INCLUDING ANY UH CAMPUS, AND THE ONE YOU ARE CURRENTLY ENROLLED IN. IF ANY

NAME OF INSTITUTION ClTY/STATE ATTENDED/ATTENDING NAME OF MONTH/YEAR (Do not use abbreviations) Attach additional sheet if necessary OR FROM THROUGH ph&fax DEGREE. DIPLOMA EXPECTED OR LIST MOST RECENT FIRST CITY/COUNTRY MONTH/YR MONTH/YR OB CERTIFICATE RECEIVED

Mr. To.ks Omishakin. o·-rertor., Catifom:ia Depanmen1 of Transportation 1120 · Street Sacramento. CA '958 ~ 4

Mr. To.ks Omishakin. o·-rertor., Catifom:ia Depanmen1 of Transportation 1120 · Street Sacramento. CA '958 ~ 4 /_

Mr. To.ks Omishakin. o·-rertor., Catifom:ia Depanmen1 of Transportation 1120 · Street Sacramento. CA '958 ~ 4

COMPLETE THIS SECTION IF YOU ARE CURRENTLY ENROLLED IN A COLLEGE OR UNIVERSITY (attach additional sheet if necessary)

NAME OF COLLEGE OR UNIVERSITY CURRENTLY ATTENDING LOCATION (CITY/STATE) TERM/YEAR CURRENTLY ENROLLED IN

COURSES CURRENTLY ENROLLED IN Mr. To.ks Omishakin. o·-rertor., Catifom:ia Depanmen1 of Transportation COURSE TITLE DEPARTMENT 1120 · Street CREDIT HOURS Sacramento. CA '958 ~ 4 Example: World Civilization I History 3 sem hrs

IF YOU HAVE PREVIOUSLY APPLIED FOR ADMISSION TO A UH CAMPUS, INDICATE THE SEMESTER, YEAR, AND DECISION TAKEN. DO YOU PLAN TO ATTEND: DDAYCLASSES DEVENINGCLASSES DBOTH CAMPUS APPLIED TO: _ SEMESTER; YEAR D ACCEPTED D NOT ACCEPTED

LIST YOUR CHOICE OF CAMPUSES. MAJORS, AND CERTIFICATES/DEGREES YOU ARE SEEKING

CAMPUS MAJOR CERTIFICATE/DEGREE

2..

APPLICANT'S CERTIFICATION I certify that the responses provided on the System Application Form are complete and Irue to the best of my knowledge and belief. I understand that providing incomplete, incorrect, or false information may result in the rescission or denial of my admission and subject me to the requirements and/or disciplinary measures as provided under the University's Student Conduct Cade, I agree to produce certified documents relative to the determination of my residency status upon request and that the provision of incorrect information regarding my residency declaration will also subject me to the requirements and/or disciplinary measures provided for in the University's rules and regulations governing the determination of residency for admission and tuition purposes. Further. I understand that the UH System shares a common database and information pertaining to me may be accessed by all UH campuses.

Date: Signature: CONTINUE ON REVERSE SIDE

FOR OFFICE USE ONLY

ID TUITION STATUS FEE PAYMENT Rec'd #. By. 1 RESIDENCY DECLARATION

APPLICANT NAME: ______Print Legal Last Name. First Name, Full Middle Name

SECTION A I Claim Legal Residency In (check one): Residency Based on (check one): D Hawai'i D My Parent (I am under 18 and not married) D Other State or Country (specify and complete Section E only): D Myself and Parent (I am 18, not yet 19 and not married) D Myself (at least 19 or married) D My Legal Guardian (submit court ordered appointment)

SECTION B Check one box that applies: DI am not claimed as a dependent on my parents'/legal guardians' personal State income tax for 2011 □ I am claimed as a dependent on my parents' /legal guardians· personal Hawal'I State income tax for 2011 (parent/legal guardian complete Section C) DI am claimed as a dependent on my parents' /legal guardians' personal State income tax for 2011 for a state other than Hawai'i

PARENT/LEGAL GUARDIAN All APPLICANTS SECTION C complete if applicant less than 19 or claimed applicant must complete

1. I claim lesial Residencv in the State of State: Since (mo/vrl: State: Since (mo/vr):

2. I have been oresent in Hawai'i continuously Since (mo/vr): Since (mo/yr):

State: D Never Filed State: 0 Never Filed 1. I filed Personal Income Tax in the State of Year from: To: Year from: To:

State: D Never Reg'd State: 0 Never Reg'd "· I re11istered to vote in the State of Date (mo/vr): Date (mo/vr):

State: D Never Voted State: 0 Never Voted ,. I last voted in the State of Date (mo/vr): Date (mo/vrl:

6. Other (e.S!. emolovment oublic assistance 551)

7. Siltnature and Date

□ us D Permanent Resident 8. Parents' /Legal Guardians' Citizenship D Other (soecifv):

9. Relationship to Applicant

SECTION D Name your last publicly supported post-secondaryinstitution attended or currently enrolled (include UH campus):

lnstitution: ______State or Country:. ______Attended From:.______To :. ______Tuition Paid: D Resident D Nonresident D Resident due to nonresident exemption based on: ______

SECTION E Indicate if any of the following exemptions from the nonresident tuition differential apply to you: DI do not qualify for any of the exemptions below DI am a full-time faculty or staff member of the University of Hawai'i, or a spouse or legal dependent of such person (Attach employment cantrad) DI am Hawaiian and not a Hawai'i resident (Attach an officialcopy of your Birth Certificate, and if necessary, that of your parents/grandparents documenting Hawaiian ancestry) DI am a citizen of ______which has no public institution of higher education granting baccalaureate degrees (See page 7) DI am a member or authorized dependent of a member of the U.S. armed forces, on active duty, stationed in Hawai'i, (Complete Verificationof U.S. Armed Forces below) DI am a member of the Hawai'i National Guard or Hawai'i-based Reserves. (Complete Verification of U.S. Armed Forces below)

VERIFICATION OF U.S. ARMED FORCES - attach Military Orders

Permission is hereby granted to release information to UH Campus: Member's Relationship to Applicant:

Applicant's Signature: ______D Self D Spouse

Military Member's Signature: ______D Parent 0 Other (specify) ______

To be completed by the Member's Commanding Officer:

Name, Rank. & Bra nth of Service of membtr of the U.S. Armed Forces on active duty stationed in H.tw.i,·1, or member of the Hawai'i National Guard or H1w,11'1•buedReserves

Estimated Date (mm/dd/yyyy): ______Rotation from Hawai•i or separation from mHitary service,whichever 1s earlier (Do Not Use ""Indefinite"' Or Leave Blank)

Signature: of Commanding Officer Date Rank and Branch of Service In Hawai'i

Pnn\N.ame

2 APPLICATION REQUIREMENTS TOAPPLYONLINE.VISITwww.hawaii.edu/admissions

The following are required for application to the University of Hawai'i at Hilo. University of Hawai'i at Manoa. University of Hawai'i-West O'ahu, Hawai'i Commu- nity College, Honolulu Community College, Kapi'olani Community College, Kaua'i Community College, Leeward Community College. Maui College, and Windward Community College, unless otherwise indicated. Applications will not be considered for admission if required documents are not submitted. All documentation is the property of the University of Hawai'i and will not be released.

SUBJECT: 2014MlJTCD. CA MUTCD Revision S Substulisil C'onfomumce wilh 2009' iSltona] System Application Form must submit the GED (General Education For UH Hilo post-baccalaureate unclassified Development) test results in addition to your graduate applicants: Certification of degree is re- 2. Application fee, nonrefundable, high school transcript. Your GED results should quired. Official transcripts indicating the degree nontransferable. is required by each campus be sent directly from the testing center to the conferred must be submitted. to which you apply, each lime you apply. A Admissions Office. Homeschooled applicants money order or check payable to "University must check with the Admissions Office of Hawai'i" must accompany the System ADDITIONAL REQUIREMENTS FOR regarding admission policies. Application Form. INTERNATIONAL APPLICANTS OR /,. College, university, business, or post-secondary • Community College applicants: $25 for NON-NATIVE SPEAKERS OF ENGLISH school transcripts are required by UH Hilo, UH nonresident applicants (except for members Please contact the campus admissions office for Manoa. and UH West O'ahu. The Community of the U.S. Armed Forces of the dependents application deadlines. International applicants on Colleges require transcripts only if you wish to of such members, stationed in Hawai'i, on non-immigrant visas are required to submit these transfer those credits. active military duty) additional items to be considered for admission: You must have official transcripts from EACH • UH Hilo applicants: $30 For all applicants 1. Supplementary Information Form for Interna- non-UH school sent directly by EACH school to tional Applicants (available from the Admissions • UH Manoa applicants: $70 for all applicants the Admissions Office. Transcripts sent via fax or Office or on the web at www.hawaii.edu/admis- personally delivered/mailed are not acceptable. • UH West O'ahu applicants: $50 for all sions). applicants If you are applying forthe fall semester, the transcript should include all courses completed 2. Test of English as a Foreign Language CTOEFL) 3. High School Transcript through the previous fall semester. If you are score. Visit: www.toefl.org or write to Educational • Community College applicants: A transcript is applying for the spring semester, the transcript Testing Service, Box 899, Princeton, New jersey required by certain programs. The campus will should include all courses completed through 08540, to apply for the test and to have your inform you if it is required. the previous summer. score sent directly to the Admissions Office. Applicants who are non-native speakers of • UH Manoa. UH Hilo and UH West 0 ahu Transcripts of courses taken at any of the ten UH English are required to submit the TOEFL score. applicants: A transcript is required if you have campuses need not be sent. 1 High school or any college transcripts. earned less than 24 semester credit hours from 5. Scholastic Assessment Test (SAT) or American translated and certified by a school or U.S. a regionally accredited U.S. college in courses College Test (ACT) score is required by UH Manoa, consular official. equivalent to those offered by UH Manoa, UH UH Hilo and UH West O'ahu if you have less Hilo or UH West O'ahu at the time you apply than 24 semester credit hours from a regionally 4. External exam score (GCE 0. A, etc.). translated for admission. Transcripts must be sent from accredited U.S. college in courses equivalent to and certified by a school or U.S. consular official. your high school directly to the Admissions courses at that campus. UH Manoa requires the Office of the campus to which you are applying. writing test. Both tuberculosis and MMR (measles, Transcripts sent via fax or personally delivered/ mumps and rubella) clearances are required mailed are not acceptable. 6. For UH Manoa post-baccalaureate unclassified graduate applicants: Please apply with UH of all students prior to registration. If you did not graduate from high school, Manoa's graduate division. including homeschooled applicants, you

INSTRUCTIONS FOR ETHNICITY AND RACE SECTIONS

The gender, ethnic background, and race of each applicant is collected for data-gathering and state and federal report purposes. It may also assist in the awarding of diversity scholarships. This information does not affect the determination of admission.

ETHNICITY: Check the appropriate box on the application. Hispanic or Latino: A person of Cuban. Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

RACE: Select one or more of the following and circle the code(s) in the appropriate box on the application.

Code Race Category Code Race Category Code Race Category

Native Hawaiian or Pacific Islander: Fl Filipino HW Native Hawaiian/Part-Hawaiian/ CA Caucasian or While IP Japanese Mixed Hawaiian AA African American or Black KO Korean SA Samoan Al American Indian/Alaskan Native LA Laotian TO Tongan TH Thai Asian: GC Guamanian orChamorro VI Vietnamese IN Asian Indian MC Micronesian OA Other Asian CH Chinese OP Other Pacific Islander

3 ACADEMIC PROGRAMS MAJORS Hawai'i Honolulu Kapi'olani Kaua'i Leeward Maui Windward

OFFERED ATTHE UNIVERSITY OF Accounting AASCA AS CACC AASCA ASCA AASCA HAWAII CAMPUSES Administration of justice AS AAS AASCA Aeronautics Maintenance Technology ASCA AASCACC Applicants to UH Hilo, UH Manoa, and UH Agricultural Technology AASCA CC ii Applied Business3 Information Technology BAS West O'ahu should go directly to Page 5. Applied Trades w, Architectural, Engr S Computer Aided Design AAS ASCA Auto Body Repair & Painting AASCA CC AAS CA AASCA AASCACC Automotive Mechanics Technology AASCA AASCC AASCACC AASCACC AASCA Biotechnician CA CERTIFICATE/ASSOCIATE Business Careers AASCA Business Technology AAStACC AASCACC ASCACC AASCACC DEGREE PROGRAMS AT Care Home Operator CC Carpentry Technology AASCA AAS CA AASCA COMMUNITY COLLEGES Commercial Aviation AS Communication Arts Av Community Health Worker CC This listing is subject to change and is Computing, Electronics 8 Networking Technology ASAPC current at the time of publication. Cosmetology AAS CA CC Culinary Arts AASCACC ASCACC AASCACC AASCACC AASCACC Community Colleges offer a variety of Culinary Management APC Dental Assisting CC CC Certificates of Competencean d Profes- Denial Hygiene AS sional Development. Check catalogs and Diesel Mechanics Technology AASCA AASCACC other college publications for most recent Digital Media Arts CC CC ASCC Early Childhood Education ASfACC ASCACC ASCA ASCACC information and listings. Educational Paraprofessional ASCC Electrical Installations Maintenance Technology AASCA AASCA AASCACC Electronic & Computer Engineering Technology ASCACC CC Certificate of Completion Electronics Technology AASCC ASCA CA Certificate of Achievement Emergency Medical Technician CC AS Associate in Science EngineeringTechnolog y BAS AA Associate in Arts Entrepreneurshi p CC Exercise S Sport Science ASCA AAS Associate in Applied Science Facilities Engineering Technology CC APC Advanced Professional Certificate Fashion Technology AASCACC AASCACC ASC Academic Subject Certificate fire& Environmental Emergency Response ASCA AASCA Hawaiian Life Styles AAS BAS Bachelorof Applied Science Hospitality and Tourism AASCACC AASCACC AASCACC Hotel/Restauran t Operations AS CA CC I Instruction is offered in this area, Human Services 3 AASCACC but no degree. Students obtain Human Services Substance Abuse Education ASCACC a degree in an approved degree Industrial Education MS Information 8 Computer Science ASCC program. Information Technology ASCACC APC AS CACC Interpreting ASCC Legal Education CC Liberal Arts (General) AAASC1 AAASC AAASC' AAASC- AAASC' AAASC' AAASC' Liberal Arts (Pre-8 us iness ] f 1' 1' 1= 1' t Liberal Arts (Prp-Cducation) 1 i I 1 P 1 Liberal Arts (Pre-Engineering ) f f 1- Liberal Arts (Pre-Social Work) 1 Machine, Welding & Industrial Mechanics Tech AASCACC Management AASCC Marine Option Program CC Marketing AASCA ASCACC Medical Assisting ASCA 1 Medical Lab Technician Subject concentrations vary; refer to AS Medical OfficeAssistan t CC campus catalogs for subject listings. Mobile Intensive Care Technician AS Musics Entertainment LearningExperienc e AS ' Signifies that an AA degree may be Natural Science AS AS offered as well as instruction/course New Media Arts AS work which provides completion of Nursing, Associate AS AS AS AS the first two years of the bachelor's Nursing, Practical CA CA CA CA Occupational & Environmental Safety Management ASCA degree in Business, Education, or Occupational TnerapyAssistan t AS Engineering for transfer to a four-year Paralegal AS college at UH Manoa orUH Hiio. Physical Therapist Assistant AS Plant Landscaping CC Radiologic Technology AS Refrigeration & Air Conditioning Tech AASCA Respiratory Care AS Sheet Metal S Plastics Technology AASCA Small Business Accounting CC Small Vessel Fabrication & Repair AAS Substance Abuse Counseling CC CC Subtropical Urban Tree Care CC Sustainable Construction Technology AASCACC Sustainable ScienceManagemen t BAS Teaching AA Television Production ASCACC Travel STounsm ASCACC Travel Industry D Tropical Forest Ecosystem R Agraforestrv Mgmt ASCA Veterinary Assisting CA Welding Technology AASCACC

OTHERS - Selft t one of the following if you did not select a major Concurrent Registration 1 1 1 1 1 1 1 Early Arlmittee I i i 1 1 1 i Unclassified i i 1 1 I 1 i

4 MAJORS Manoa Hilo West O'ahu Maui MAJORS Manoa Hilo West O'ahu Maui

Accounting BBA BSA i Japanese (language) BA Administration of lustice BA lapanese Studies BA Agriculture BS' Journalism BA American Studies BA JusticeAdministration 7 Animal Sciences BS Kinesiology and Exercise Sciences BA Anthropology BA BA 3 Apparel Product Design and Kinesiology and Rehabilitation Science US' Merchandising BS Korean BA BACHELOR'S/ Applied Business and Information Technology BAS Liberal Arts » Il5flhisshhr"viatinnilvouarp ,r . i !•! ••! shorn a major UNDERGRADUATE DEGREE Applied Forensic Anthropology Cert Liberal Studies BA Applied Sciente BAS PROGRAMS AT UH Linguistics BA Architecture DArch Management BBA MANOA, UH HILO, Art HA BA Management Information Art, Studio BFA Systems BBA UH WEST O'AHU, AND Asian Studies BA Marine Biology BS Astronomy BS UH MAUI COLLEGE Marine Science BA BS Biological engineering BS Marketing BBA i Biology runs BABS This listing is subject to change and is Mathematics BA BS BA Botany BABS current at the lime of publication. Mechanical Engineering BS Business Administration BBA BBA BA Medical Technology BS Chemistry BABS BA Meteorology BS Chinese BA BA Bachelorof Arts Microbiology BA BS Civil Engineering BS BS Bachelor of Science Molecular S Cell Biology BS Classics BA BAS Bachelor of Applied Science Music BABMiis' Communication BA BA Natural Resources and BSA Bachelorof Business Communication Sciences and Environmental Management BS Administration Disorders BS Natural Science BA BEd Bachelor of Education Computer Engineering BS Nursing BS' BS BFA Bachelor of Fine Arts Computer Science BS BS Pacific Island Studies BA BMus Bachelorof Music Computing, Electronic s and Performing Arts BA BSW Bachelor of Social Work Networking Tech 9 Pharmacy Studies BA DArch Doctorate of Architecture Creative Media BA Philippine Language and Cert Certificate in a specific major Culinary Management 9 Literature BA Dance BA Philosophy BA BA 6 I Instruction is offered in this Da nee Theatre BFA Physics BABS BA area, but no degree. Students Dental Hygiene BS Plant and Environmental obtain a degree in an approved Disaster Preparedness and Biotechnology BS degree program. Emergency Management 7. Cert Plant and Environmental Economics and Finance BA BA 3 Protet tion Sc i en r es BS Education BEd Political Science SA BA 3 Ipie) Dentistry I" Education—Earl y Childhood 3 ph&fax Offered as a concentration in Business Education—Elementar y BEd- CerF 10 (pte) Education 1' Administration at UN West O'ahu. Education -Secondary BEd- Cert> (pte) Engineering 1" * UH Hilo offers concentrations in Agribusi- 1 Electrical Engineering BS (pre) Law 1* I ness, Agroecology and Environmental Qual- 1 Engineering Technology (pre) Medicine I T ity. Aquaculture, Crop Protection. Tropical BAS (pte) Nursing I11 1* Horticulture and Animal Science under the English BA BA 6 (pre) Pharmacy 1* \' General Agriculture program. Entrepreneurship BBA ' Offered as a concentration in Social Sci- Environmental Science BS Psychology BA BA 3 Pubiic Administration BA ences at UH West O'ahu. Environmental Studies BA Cert Religion BA • The University of Hawaii Manoa College of Ethnic Studies BA Education, and School of Nursing require Respiratory Caie 9 Ethnobotany BS submission of both the System Application Russian BA Family Resources BS Form and the respective School/College Second Language Studies BA Finance application form for admissions. These pro- BBA Social Sciences BA grams also have early deadlines that must Food Science and Human Nutrition BS Social Work 8SW be met for admissions. Contact the School/ French socio nv» BA BA 3 College for further information. BA Spanish BA 1 The University of Hawai'i Hilo Education Geography BA BA program requires submission of the de- Geology BA 8ABS Speech flA partmental application form for admission. Geology 8. Geophysics BS Substance Abuse and Addiction Studies Cert Contact the Admissions Office for further German BA Sustainable Science Management BAS information. Global Environmental Science BS " Offered as a concentration in Humanities at Theatre BA Hawaiian (language) BA UH West O'ahu. Travel Industry Management BS Hawaiian - Pacific Studies 6 • Offered as a concentration in Public Admin- Tropical Plant S Soil Sciences BS Hawaiian Studies BA BA istration at UH West O'ahu. Women's Studies BA Health Care Administration 7, Cert " Applicants with junior standing or higher Zoology BA BS in college credits must select a major other History BA BA 6 than liberal arts or a (pre) program. Humiin Resource MsfiaKCtTiGnl BBA OTHERS— Select one of the following if you do not select a major ' Offered as a concentration in Applied Sci- Humanities BA ence at UH West O'ahu. Information and Concurrent Registration 1 1 1 " Offered as a concentration in Education at Compute' Sciences BA EarlyAdmittee 1 1 1 UH West O'ahu Information Tech 9 Unclassified (non-degree) 1 1 1 * Audition required. Contact the Music Interdisciplinary Studies BA Department. International Business BBA

5 NOTICE TO APPLICANTS FORADMISSIO N

USE OF SOCIAL SECURITY NUMBER complaint procedures, visit the following website: particular emphasiso n those programs in which the www.hawaii.edu/eeo, or contact: prospective student has expressed interest. Further, The University of Hawai'i ("University") is commit- in the case of an institution having courses of study, ted to safeguarding the privacy of personal and Office of the Vice President for Student Affairs the purpose of which is to prepare students for a confidential information of its students, employ- University of Hawai'i particular vocational, trade or career field, such ees, alumni, and other individuals associated with 2444 Dole Street statement shall include information regarding the the University. In the normal practice of conducting Honolulu, Hi 96822 employment of students enrolled in such courses, in official University business, the University collects Phone: (808) 956-8753 such vocation, trade, or careerfield . and maintains confidential information relating to its students, including a student's Social Security Accordingly, an applicant (prospective student) is Number (SSN).Th e University requests that a SELECTIVE SERVICE REGISTRATION OF advised to secure copies of the current catalog of student provide a SSNa t the time of applica- MALES 18 THROUGH 25 each of the campuses of (he University of Hawai'i at tion to the University. The SSN is not required for Males aged 18 - 25 are required by federal law to which the applicant is seeking admission in order to enrollment, however, the University is required register with the SelectiveService . Registration can gain information describing the nature of thecam - by federal law to report to the Internal Revenue be done via the web at www.sss.gov pus, its academic and student service programs, its Service ("IRS") the SSNan d other information for faculties, and its facilities. Further, each applicant is tuition-paying students. Federal law also requires advised to contact the Directoro f Placement at each the University to obtain and report to the IRSth e EMPLOYMENT OF GRADUATES of the campuses of the University of Hawai'i at which SSN for any person to whom compensation is paid. the applicant is seeking admission in order to gain Section 177.64 of the Rules and RegulationsGov - Due to the practical administrative difficulties information describing the potential for employment erning the GuaranteedLoa n Program (20 U.S.C. which the University would encounter in maintain- of applicants who enroll in the programs in which 1071 through 1087-1) requires that participating ing adequate student records and processing the applicant is seeking also to enroll. institutions make a good faith effort to present financial transactions without the SSN,th e Univer- each prospective student, prior to the time the sity will continue to collect SSNs as permitted by Information on campus security is available upon prospective student obligates himself or herself to law for official use within the University system. request from the campus Admissions Office. pay tuition, with a complete and accuratestate - Providing the University with your SSN ensures ment about the institution, its current academic or The refund policy is available upon request from the that University programs and services are available training program, and its faculties and facilities, with campus Business Office. with the least delay.

Students will be assigned a University-generated student identification number upon enrollment, AVERAGE GRADUATION AND PERSISTENCE RATES OF FALL COHORTS which will be used as the primary identifier. The SSN will not be used as the primary identifier of students The table shows the percentage of full-time, first-time,certificat e or degree-seekingundergradu - associated with the University. The SSN will be used ates entering in fall semesters who have graduated or are still enrolled. in activities, including but not limited to, matching The rates are 6 years after entry for UH-Manoa and UH-Hilo. Forth e UH-Community Colleges, the and reconciling documents in order to determine rates are for cohorts completing within 150% of normal time to completion. All rates areaverag e eligibility for admission and financial aid, to deter- rates for cohorts noted. mine residency for tuition purposes, to comply with Average Rates federal and/or state law reporting requirements Graduation Persistence (e.g. for financial aid. Internal RevenueServic e Six years after entry, 1994-2004 cohorts: mandates. Taxpayer'sRelie f Act of 1997, USCIS), and University of Hawai'i at Manoa 52% 10% in accordancewit h the Family Educational Rights University of Hawai'i at Hilo 32% and Privacy Act. The SSN will not be disclosed to any 7% persons outside the University system, excepta s al- Completing within 150% of normal time to completion, 1997-2007 cohorts: lowed by law orwith permission from the individual. UH Community Colleges 14% 20% This policy does not preclude, if a primary means of Hawai'i Community College 21% 15% identification is unavailable, the University from us- Honolulu Community College 13% 18% ing the SSNa s needed to conduct official University Kapi'olani Community College 13% 25% business. Kaua'i Community College 16% 18% Leeward Community College 12% 24% Maui College 20% 16% NONDISCRIMINATION AND AFFIRMATIVE Windward Community College 10% 18% ACTION

The University of Hawai'i is an equal opportunity/ Graduation rates (for the most recent cohort) are 50% at UH Manoa and 33% atUH Hilo for the affirmative action institution and is committed to Fall 2004 cohort six years after entry, and at the UH community colleges for the Fall 2007 cohort a policy of no ndiscriminatio n on the basis of race, completing within 150% of normal time to completion: 16% overall, 21% at Hawai'i CC,11 % at sex, gender identity and expression, age, religion, Honolulu CC, 17% at Kapi'olani CC, 21% at Kaua'i CC, 12% at Leeward CC, 26% at Maui College, color, national origin, ancestry, disability, marital and 9% at Windward CC. UH West O'ahu began admitting first-time students in Fall 2007 and is status, arrest and court record, sexual orienta- not included here since graduation and persistence rates are not yet available. tion, or status as a coveredveteran . This policy This information is provided for the Student Right-to-Know Act, Public Law 101-542. It provides covers admission and access to, and participation, a partial description of the graduation and enrollment patterns of students and describes aver- treatment, and employment in the University's ages for groups of students. It should not be used to infer or predict individual behavior. programs, activities, and services. For more information on equal opportunity policies, Title IX Source: Univ, of Hawai'i, Institutional Research and AnalysisOffice ; February 2011 and ADA/Section 504 Coordinators, and University

6 RESIDENCY REGULATIONS (condensed) (The residency rules and regulations may be subject to change)

Other legal factors in making a residency determina- 2. Citizens of an eligible Pacific island district, commonwealth, territory, or insular jurisdiction, Students who do not qualify as bona fide tion include: state, or nation which does not provide public residents of the State of Hawai'i, according A. The 12 months of continuous residence in institutions that grant baccalaureate degrees to the University of Hawai'i rules and regula- Hawai'i shall begin on the date upon which the may be allowed to pay 150% of the resident tu- tions in effect at the time they register, first overt action (see evidences) is taken to ition. At the time of publication, these included must pay the nonresident tuition. An official make Hawai'i the permanent residence. Resi- the following: determination of residency status will be dence will be lost if it is interrupted during the made prior to enrollment. Applicants may 12 months immediately preceding the h'rst day of American Samoa be required to provide documentation to instruction. Commonwealth ofthe Northern Marianas verify residencystatus . Once classified as Cook Islands B. Residency in Hawai'i and residency in another a nonresident, a student continues to be so Federated States of Micronesia piace cannot be held simultaneously. classified during his/her term at the college Futuna until he/she can present clear and convinc- C. Presence in Hawai'i primarily to attend an Kiribati ing evidence to the residency officer that institution of higher learning does not create Nauru proves otherwise. resident status. A nonresident student enrolled New Caledonia for 6 credits or more during any term within the Niue Some of the more pertinent University Republic of Palau 12-month period is presumed to be in Hawai'i residency regulations follow. For additional Republic ofthe Marshall Islands primarily to attend college. Such periods of en- information or interpretation, contact the Solomon Islands rollment cannot be applied toward the physical residency officer in the AdmissionsOffice . Tokelau presence requirement. The complete rules and regulations are Tonga available at the Admissions Office. D. The residency of unmarried students who are Tuvalu minors follows that of the parents or legal guard- Vanuatu ian. Marriage emancipates a minor. Wallis

E. Resident status, once acquired, will be lost by fu- This list is subject lo change. For a current list, eligibility and documentation requirements, please contact the Admis- DEFINITION OF HAWAII RESIDENCY ture voluntary action of the residentinconsisten t sions Office of the campus you are applying to. A student is deemed a resident of the State of with such status. However, Hawai'i residency Hawai'i for tuition purposes if the student [19* or will not be lost solely because of absence from older) or the student (under 19*) and his/her parents the State while a member of the United States MISREPRESENTATION orlegai guardian have: Armed Forces,whil e engaged in navigation, or while a student at any institution of learning, A student or prospective student who provides incor- ID Demonstrated intent to permanently reside in provided that Hawai'i is claimed and maintained rect information on any form or document intended Hawai'i (see below for evidences); as the person's legal residence. for use in determination of residency status for tuition purposeswil l be subject to the requirements (2) Been physically present in Hawai'i forthe 12 and/or disciplinary measures provided for in the consecutive months prior to the first day of rules and regulations governing residency status. instruction, and subsequent to the demonstra- BOARD OF REGENTS EXEMPTIONS tion of intent to make Hawai'i his/her legal i. Nonresidents may beallowe d to payresiden t residency; and tuition if they qualify as one of the following: APPEAL PROCESS (3) The student, whether adult or minor, has not A. United States military personnel and their Residency decisions may be appealed by contact- been claimed as a dependent for tax purposes authorized dependents during the period such ing the residency officer for information on how to for at least 12 consecutivemonth s prior to the personnel are stationed in Hawai'i on active initiate an appeal. first day of instruction by his/her parents or legal duty guardians who are not legal residents of Hawai'i. B. Members of the Hawai'i National Guard and 'The age of majority is 18 years. However, a person To demonstrate the intent to make Hawai'i your legal Hawai'i-based Reserves between the ages of 18 and 19, unless emancipated, can- residency, the following evidence apply: C. Full-time employees of the University of Hawai'i not claim residency solely on the basis of him self/herself because he/she does not have the minimum 12 months A. Rling Hawai'i resident personal income tax and their spouses and legal dependents residency which commences on his/her i8th birthday. return D. East-West Center student grantees pursuing bac- B. Voting/registering to vote in the State of Hawai'i calaureate or advanceddegree s

Other evidence, such as permanent employment E. Hawaiians, descendents of the aboriginal and ownership or continuous leasing of a dwelling in peoples that inhabited the Hawaiian islands Hawai'i, mayapply , but no single act is sufficient to and exercised sovereignty in the Hawaiian establish residency in the State of Hawai'i. Islands in 1778

7 The 10 campuses of the University of Hawai'i System share the same application database. Therefore, one application form can be used to apply to either a baccalaureate degree program or to a community college program. If you are accepted atUH Manoa, UH Hilo, UH West O'ahu, ora UH Community College, you will also be eligible to enroll in unrestricted courses at any Community College campus or Outreach College at UHM. (Enrollment at UH Manoa, UH Hilo and UH West O'ahu requires a separate application form and supporting documents.) To apply online, please visit www.hawaii.edu/admissions The System Application Form cannot be used to apply for financial aid or on-campus housing. Obtain proper forms from the Financial Aid Office or Housing Office of the campus to which you are applying.

PRIORITY DEADLINES You will be given priority consideration if your System Application Form and all other required materials are submitted or postmarked by the specified deadline. International applicants should contact the campus admissions office for application deadlines.

Submit all materials directly to the Admissions Office at the campus address listed below: Contact Information FALL 2012 SPRING 2013

Hawai'i Community College [email protected] AugUSt 1, 2O12 December i, 2012 200 West Kawili St. www.hawaii.hawaii.edu Hilo, Hawai'i 96720-4091 (808) 934-2710

Honolulu Community College [email protected] AugUSt 1, 2O12 December i, 2012 874 Dillingham Boulevard www.honolulu.hawaii.edu Honolulu, Hawai'i 96817 (808) 847-9834

Kapi'olani Community College [email protected] July 15, 2012 December!, 2012 4303 Diamond Head Road www.kcc.hawaii.edu Honolulu, Hawai'i 96816 (808)734-9555

Kaua'i Community College [email protected] AugUSl 1, 2012 December i, 2012 3-1901 Kaumuali'i Hwy. www.kauai.hawaii.edu LThu'e, Hawai'i 96766-9500 (808) 245-8225

Leeward Community College [email protected] July 15, 2012 December i, 2012 96-045 Ala 'Ike www.lcc.hawaii.edu Pearl City, Hawai'i 96782 (808) 455-0642

University of Hawai'i Maui College [email protected] AugUSt 1, 2012 December 31, 2012 310 Ka'ahumanu Avenue www.maui.hawaii.edu Kahului, Hawai'i 96732 (808) 984-3267 1-800-479-6692 within the U.S. (808) 984-3517 for international calls

Windward Community College [email protected] AugUSt 1, 2012 December i, 2012 45-720 Kea'ahala Road www.windward.hawaii.edu Kane'ohe, Hawai'i 96744 (808) 235-7432

University of Hawai'i at Hilo [email protected] March i, 2012 December i, 2012 200 West Kawili St. www.uhh.hawaii.edu (Final deadline: July i) Hilo, Hawai'i 96720-4091 (808) 97-4-7414 1-800-897-4456 within the U.S.

University of Hawai'i at Manoa [email protected] January 5, 2012 September i, 2012 2600 Campus Road, QLCSS 001 www.manoa.hawaii.edu (Final deadline: May i) (Final deadline: Oct.i) Honolulu, Hawai'i 96822-2385 (808) 956-8975 (International applicants must meet priority 1-800-823-9771 within the U.S. deadlines)

University of Hawai'i - West O'ahu [email protected] March i, 2012 October i. 2012 96-129 Ala 'Ike www.uhwo.hawaii.edu (Final deadline: Aug. i) (Final deadline: Dec.i) Pearl City, Hawai'i 96782 (808) 454-4700 (International applicants must meet priority 1-866-299-8656 within the U.S. deadlines)