Student ID Number Application for Admission


Download Student ID Number Application for Admission


Preview text

Office of Admission Toll-free: 1-866-CALL-HPU
Direct: (808) 544-0238 [email protected]

Student ID Number (OFFICIAL USE ONLY)
Application for Admission
SPECIAL STATUS (NON-DEGREE SEEKING)
Special Status is available for students who wish to take “for credit” courses at Hawai‘i Pacific University, but elect not to seek a degree or participate in cooperative education, financial aid, or use veterans’ benefits. Counselor recommendation is needed and transcript for current high school student. Credits completed while in this category may be applied toward a degree program should you seek admission as a degree-seeking student. In order to convert to a degree status, students must submit an Application for Admission and request official copies of all high school and college transcripts to be sent directly to the Office of Admissions. Visit www.hpu.edu/admissions for application requirements.

Student Information
Year Applying for:
2017-2018
Term Applying for: Fall Semester (September – December)
Winter Intersession (December – January)
Personal Information
Last/Family Name

I’ve applied for KS-HPU Dual Credit before

Citizenship:

Residency:

U.S. Citizen

International

U.S. Permanent Resident*

Spring Semester (January – May) Summer (May – August)

*If you are a U.S. Permanent Resident (green card holder), attach
a copy of your Resident Alien card (green card) and list Alien Registration number below:
Alien Registration Number:

Given/First Name

Middle Name

Suffix

Preferred First Name
Current Mailing Address Street Address Current Telephone

Former Last Name(s) if any

Gender Male

Female Date of Birth (mm/dd/yyyy)

City/ Town
Cell Telephone

Email Address

Country/ State

Postal Code
Address Valid until (mm/dd/yyyy)

Permanent Mailing Address (if different from current address)

Street Address

City/

Country/

Postal

Town

State

Code

Permanent Telephone

Current College/High School

Kamehameha Schools Kaplama High School

If military:

Service

Status

Rank

ID#

Exp

Date

Check Fall courses
Course Selection: Courses are subject to availability and may require prerequisites to be fulfilled that apply

CRN

COURSE ALPHA COURSE NO. SEC

1

ARTS1000

GRD. OPT.

DAY

TIME

CREDIT

3.0

2

COMM1000

3.0

3

ENGL1101

3.0

4

JPE1100/1200

3.0

5

JPE2100/2200

3.0

Academic Advisor:
(internal use)

Date:
(internal use)

Fees
Please submit the required non-refundable $50 application fee.

NOTE: KS will charge $50 fee to your KS account, as applicable.

All of the information given in this application is complete and correct to the best of my knowledge.

Signature of Applicant

Date

Preparing to load PDF file. please wait...

0 of 0
100%
Student ID Number Application for Admission