please type or print clearly 1. gender birthplace birth date · list bachelor’s degree(s) first;...

SHIDLER COLLEGE OF BUSINESS – GRADUATE ADMISSIONS APPLICATION FORM Mail-in completed form to: UH Manoa - Shidler College of Business – Graduate Admissions – 2404 Maile Way C202 – Honolulu, HI 96822

Tel: (808) 956-5463 – Fax: (808) 956-9882 – Email: [email protected]– Web: www.shidler.hawaii.edu

Please Type or Print Clearly

SEMESTER

oFALL 20___ oSPRING 20___

1. ETHNICITY (Check one)

oHispanic or Latino oNot Hispanic or Latino RACE (Check all that apply) See instructions for listing.

o AA o AI o CA o CH o FI o GC

o HW o IN o JP o KO o LA o MC

o OA o OP o SA o TH o TO o VI

GENDER

oFEMALE oMALE

BIRTHPLACE (State or Country) BIRTH DATE

MM DD YY

U.S. Social Security Number, if any.

2. FULL LEGAL NAME (Do not use nicknames. International applicants: Use name as listed on passport.) FAMILY/LAST FIRST FULL MIDDLE

3. OTHER NAMES (under which transcripts, records, or test scores may be issued):

COUNTRY OF CITIZENSHIP

oUnited States (If you have dual citizenship for the United States and another country, check United States.)

oOTHER ______________________________ Specify country. Indicate immigrant status or visa type in #4.

4. NON-U.S. CITIZEN IMMIGRANT STATUS OR VISA TYPE

oU. S. PERMANENT RESIDENT Date Received (MM/DD/YY)________________________________

oF-1 STUDENT VISA oOTHER VISA (specify) ________________________________

CURRENT MAILING ADDRESS CITY/PROVINCE STATE/COUNTRY

ZIP/POSTAL CODE

VALID UNTIL (MM/DD/YY)

CURRENT TELEPHONE Area Code ( )

PERMANENT MAILING ADDRESS CITY/PROVINCE STATE/COUNTRY

ZIP/POSTAL CODE

PERMANENT TELEPHONE Area Code ( )

OTHER TELEPHONE Area Code ( )

5. EMAIL ADDRESS FAX NUMBER Area Code ( )

6. INTENDED GRADUATE PROGRAM AND DEGREE OBJECTIVE (Refer to above website for listing of programs and degrees.) 7. oCHANGE IN GRADUATE PROGRAM

8. oDUAL DEGREE PROGRAM Have you applied for graduate admissions to UH Manoa previously? oNo oYes (semester & year) ___________

Were any of your ancestors Hawaiian? (optional) oNo oYes

9. Person authorized by you to access info regarding your application status:

NAME OF HIGH (SECONDARY) SCHOOL FROM WHICH YOU GRADUATED STATE or COUNTRY GRADUATION DATE (MM/YY)

SUMMARY OF COLLEGE/UNIVERSITY ATTENDANCE. Provide an official transcript from each institution. See page 8 for additional space. List bachelor’s degree(s) first; advanced degree(s) second, if any; and all other institutions of college/university level, regardless of the length of attendance. International applicants: List actual name of degree received or expected, DO NOT translate or interpret in terms of U.S. equivalent.

FULL NAME OF INSTITUTION (Do not use initials.)

LOCATION (city, state or country)

ENTERED ( MM/YY)

THROUGH (MM/YY)

MAJOR or PROGRAM OF STUDY

NAME OF DEGREE or DIPLOMA RECEIVED or EXPECTED

DATE RECEIVED or EXPECTED

( MM/YY)

Signature required on next page

For Office use only: Admission fee: CC CH UH ID:

R N M F J S G C E H TUITION STATUS: by on

ADMISSIONS TYPE: ST CC CH STUDENT TYPE : M R C T GEOG : L M I

Page 1 of 4

lynnmiyahiraTypewritten TextSUMMER 20 __

lynnmiyahiraTypewritten Text

lynnmiyahiraTypewritten Text



SUMMARY OF COLLEGE/UNIVERSITY ATTENDANCE: Continued from page 1. NAME OF INSTITUTION (Do not use initials.)

LOCATION (city, state or country)

ENTERED ( MM/YY)

THROUGH (MM/YY)

MAJOR/ PROGRAM OF STUDY NAME OF DEGREE OR DIPLOMA RECEIVED OR EXPECTED

DATE RECEIVED OR EXPECTED (MM/YY)

FOR INTERNATIONAL APPLICANTS ONLY Provide permanent foreign address, if different from the permanent mailing address provided on previous page. __________________________________________________________________________________________________________________________________________________________________________________________________ PERMANENT FOREIGN ADDRESS CITY / PROVINCE STATE / COUNTRY POSTAL CODE

How did you learn about the Shidler College of Business graduate programs? Check all that apply.

o Shidler Website o Recruitment Fair o Newspaper/Advertisement o Alumni, Friend o Business School Ranking o Flyer or Brochure o Faculty recommendation o Internet search o Other _______________________

10. APPLICANT’S CERTIFICATION I certify that the responses provided on the Shidler Graduate Admissions Application Form are complete and true to the best of my knowledge and belief. I understand that providing incomplete, incorrect, or false information may result in the rescission of admission and subject me to the requirements and/or disciplinary measures as provided under the University’s Student Code. Further, I understand that the UH System shares a common database and information pertaining to me may be accessed by all UH campuses. Signature ___________________________________________________________________Date__________________________________

Page 2 of 4



Shidler Graduate Admissions Application Fee Credit Card Payment Form Shidler College of Business Graduate Application Fee - US$100.00

Card Holder Signature _____________________________________________________Date_____________________________ For office use only:

R N M F J S G C E H UH ID: PROGRAM:

Semester of Application (Please check one): Fall 20____ Spring 20____ Date of Birth __________________

Name of Applicant (Print):_______________________________________________________________________________________ FAMILY/LAST FIRST MIDDLE

Credit Card Type: VISA MasterCard Diners JCB Discover Credit Card Number: ___ ___ ___ ___/ ___ ___ ___ ___/ ___ ___ ___ ___/ ___ ___ ___ ___ Expiration Date (MM/YY): ___ ___ / ___ ___ Three (3) Digit Security Code: ___ ___ ___ Name of Card Holder (As indicated on card):_____________________________________________________________________ FAMILY/LAST FIRST MIDDLE

Credit Card Billing Address (As indicated on credit card statement): ___________________________________________________________________________________________________________ Number and street Apt. Number City State/Province Zip/Postal Code

All tuition and fee charges at the University of Hawai‘i campuses are subject to change in accordance with requirements of State law and/or action by the Board of Regents or university administration. We do not accept partial payments. I agree to pay the appropriate graduate admissions application fee according to the card issuer agreement. I understand that the application fee is non-refundable and non-transferable.

Page 3 of 4

Instructions for Completing the Shidler College of Business Graduate Admissions Application Form

1. Ethnicity and Race

The ethnic background and race of each applicant is collected for data-gathering and state and federal report purposes. This information does not affect the determination of admission.

2. Full Legal Name

Do not use nicknames. International applicants: Use name as listed on your passport.

3. Other Names

List other names under which your test scores, transcripts, or other documents may be identified. 4. Non-U.S. Citizen Immigrant Status or Visa Type

If you are a non-U.S. citizen CURRENTLY residing in the United States, check the immigrant status or visa type that applies to you.

5. Email Address Provide an email address to receive notification of the status of your application.

6. Intended Graduate Program and Degree Objective

Refer to the Shidler website for listing of programs and degrees offered. Use of unauthorized names and degrees will delay the processing of your application.

7. Change of Graduate Program

For current University of Hawaii graduate students, check this box if you wish to apply for a change in your graduate program. 8. Dual Degree Program

Check this box if you are applying to a dual degree program. See Shidler website for a listing of programs. 9. Authorization for Release of Information

If you wish, provide the name of a friend or family member authorized by you to access information regarding your application status. NOTIFICATION OF FINAL ADMISSIONS DECISION IS BY MAIL ONLY.

10. Applicant’s Certification

Read and sign the certification. Falsification, withholding of information, or failure to list all schools attended may result in rejection of your application or disciplinary action if discovered after enrollment.

CODE RACE CATEGORY CODE RACE CATEGORY AA African American or Black KO Korean AI American Indian or Alaskan Native LA Laotian

CA Caucasian or White MC Micronesian (except Guamanian or Chamorro)

CH Chinese OA Other Asian FI Filipino OP Other Pacific Islander GC Guamanian or Chamorro SA Samoan HW Native Hawaiian or Part-Hawaiian TH Thai IN Asian Indian TO Tongan JP Japanese VI Vietnamese

Page 4 of 4

PERMANENT FOREIGN ADDRESS: Date: Fall 20: Semester of Application Please check one: OffSpring 20: VISA: OffMasterCard: OffDiners: OffJCB: OffDiscover: OffNumber and street: Apt Number: City: StateProvince: ZipPostal Code: Semester Year1: Female: OffMale: OffSSN: Date of Birth: FIRST NAME: FAMILY/LAST: FULL MIDDLE NAME: OTHER NAMES: Birthplace: Other Citizen-Specify: Fall Semester: OffEthnicity: OffAA: OffAI: OffCA: OffCH: OffFI: OffGC: OffHW: OffIN: OffJP: OffKO: OffLA: OffMC: OffOA: OffOP: OffSA: OffTH: OffTO: OffVI: OffUS Citizen: OffUS Permanent Resident: OffF-1 Student Visa: OffOther Citizen: OffOther VISA specify: Date Received MM/DD/YY: Current address valid until: Current Mailing Address: Permanent Mailing Address: Current City: Permanent City: Current State/Country: Permanent State/Country: Zip/Postal Code: Permanent Zip/Postal Code: Current Telephone: Permanent Telephone: Other Telephone: Email address: Fax Number: Text23: Other VISA: OffChange in Grad Program: OffDual Degree Program: OffYes-UHM Previous apply: OffUHM Previous Apply - Specify: No-Hawaiian: OffNo-UHM Previous apply: OffYES-Hawaiian: OffPerson Autorized to access app status: High School Name: High School State or Country: High School Graduation Date: FOREIGN CITY PROVINCE: FORIEGN STATE COUNTRY: FOREIGN POSTAL CODE: College/University FULL NAME-2: College/University FULL NAME-3: College/University FULL NAME-4: College/University FULL NAME-5: College/University FULL NAME-1: College/University FULL NAME-6: College/University FULL NAME-7: College/University FULL NAME-8: College/University FULL NAME-9: College/University FULL NAME-10: College/University FULL NAME-11: College/University FULL NAME-12: College/University FULL NAME-13: College/University FULL NAME-14: College LOCATION-1: College LOCATION-2: College LOCATION-3: College LOCATION-4: College LOCATION-5: College LOCATION-6: College LOCATION-7: College LOCATION-8: College LOCATION-9: College LOCATION-10: College LOCATION-11: College LOCATION-12: College LOCATION-13: College LOCATION-14: College Entered Date-2: College Entered Date-3: College Entered Date-4: College Entered Date-5: College Entered Date-6: College Entered Date-7: College Entered Date-8: College Entered Date-9: College Entered Date-10: College Entered Date-11: College Entered Date-12: College Entered Date-13: College Entered Date-14: College Date Through-1: College Date Through-2: College Date Through-3: College Date Through-4: College Date Through-5: College Date Through-6: College Date Through-7: College Date Through-8: College Date Through-9: College Date Through-10: College Date Through-11: College Date Through-12: College Date Through-13: College Date Through-14: Major or Area of Study-2: Major or Area of Study-3: Major or Area of Study-4: Major or Area of Study-5: Major or Area of Study-1: Major or Area of Study-6: Major or Area of Study-7: Major or Area of Study-8: Major or Area of Study-9: Major or Area of Study-10: Major or Area of Study-11: Major or Area of Study-12: Major or Area of Study-13: Major or Area of Study-14: Name of Degree-2: Name of Degree-3: Name of Degree-4: Name of Degree-5: Name of Degree-1: Name of Degree-7: Name of Degree-6: Name of Degree-8: Name of Degree-9: Name of Degree-10: Name of Degree-11: Name of Degree-12: Name of Degree-13: Name of Degree-14: College Entered Date-1: Date Received/Expected-2: Date Received/Expected-3: Date Received/Expected-4: Date Received/Expected-5: Date Received/Expected-1: Date Received/Expected-6: Date Received/Expected-7: Date Received/Expected-8: Date Received/Expected-9: Date Received/Expected-10: Date Received/Expected-11: Date Received/Expected-12: Date Received/Expected-13: Date Received/Expected-14: How did you Hear? Other-specify: Shidler website: OffAlumni, Friend: OffFaculty Recommendation: OffRecruitment Fair: OffBusiness School Ranking: OffInternet Search: OffNewspaper/Magazine: OffFlyer/Brochure: OffOther: OffSemester of Application-Spring: OffName of Applicant FAMILY/LAST NAME: Name of Applicant FIRST: Name of Applicant MIDDLE: Name of Card Holder FIRST: Card Holder FAMILY/LAST NAME: Card Holder MIDDLE: CC-Date: CC-1: CC-2: CC-3: CC-4: CC Exp-MM: CC Exp-YY: CC-Code: Spring: OffSummer: OffSemester Year2: Semester Year3:

please type or print clearly 1. gender birthplace birth date · list bachelor’s degree(s) first;...

Documents