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Continuing Education Credit Application
for Fall and Spring

UHH Home > Academics > College of Continuing Education and Community Service

Required fields are marked with a red asterisk (*). No application fee required.

LEGAL NAME

* Family/Last Name :
* First Name :
* Full Middle Name :
Any other names used on transcripts, test scores, etc.:
* Email Address :

PERSONAL DATA
UHH ID # or Social Security Number:
* Sex: Male Female
* Birthday: (mm/dd/yy)
* Ethnicity:
* Citizenship: USA Other (specify country)
Non-US Citizen - VISA Type: Student Visa
Immigrant - Date Received: (mm/yy)
Other (specify visa type)
Birthplace (state, city, foreign country): (optional)
* Will you be receiving veterans benefits? Yes No

HIGH SCHOOL

* Name of High School:
* State or Country:
* Month/Year Graduated or Will Graduate: (mm/yy)

CURRENT MAILING ADDRESS

* Current Mailing Address:
* City or Province:
* State or Country:
Zip Code:
Until (month/day/year): (mm/dd/yy)
Phone: Home: Work:

PERMANENT MAILING ADDRESS

To be completed if address is different than previously listed. (For F1 students, please list your permanent address outside the United States.)
Permanent Mailing Address:
City or Province:
State or Country:
Zip Code:
Phone: Home: Work:

COLLEGE HISTORY

List the most recently attended college, university, or post-secondary school.
Name of Institution:
(Do not use initials.)
State or Country:
Dates of Attendance: (mm/yy - mm/yy)
Name of Degree:
Year Expected / Received:

ATTENDANCE AT UH HILO

Please Check Appropriate Boxes: I have applied for admission to UH Hilo
for (yyyy)
I have been accepted for (yyyy)
the last semester I attended UH Hilo prior to this semester was (yyyy)
I have never attended UH Hilo.

RESIDENCY

* Do you wish to claim Hawaii state residency for tuition purposes? Yes
No

If Yes, download the Residency Declaration Form. You will need the Adobe Acrobat Reader in order to view and print out the form. The form (along with any additional documentation requirements) must be completed and returned to us so we can evaluate your residency eligibility based on the official definition of Hawaii Residency.

Please mail the completed form to:

University of Hawaii at Hilo
Admissions
200 W. Kawili St.,
Hilo, HI 96720-4091

ADDITIONAL COMMENTS

If you have any additional requests and/or comments regarding your application, please indicate them below (please use the return or enter key after each line). If you have questions regarding the course, please email ccecs@uhh.hawaii.edu.

IMPORTANT NOTICE

By submitting this application, you certify that the answers and responses provided for all the items on this form are true to the best of your knowledge and belief. Please understand that providing incorrect information will subject you to the requirements and/or disciplinary measures as provided for in the University's rules and regulations governing the determination of residency. Please be aware that you may be required to produce certified documents relevant to the determination of your residency status.