Financial Aid Office * 96-045 Ala Ike Street * Pearl City * 96782
Phone: 808 455-0606 * Fax: 808 453-6371 * Website:, MyUH Services:
2019-2020 Second Degree Form
_____________________________________________ _____________________ _________________
Last Name First Name UH ID/Username Phone Number
Our records show that you may have earned a bachelor’s degree and/or an associate’s degree. If you have truly earned either
or, both degrees, and are now seeking another degree at Leeward Community College (Leeward CC), our office will request an
Academic Counselor to evaluate your prior credits. The purpose of the evaluation is to determine the amount of credits you
need to fulfill the second/other degree you are now seeking, and will also determine the amount of credits (if any) of financial
aid eligibility you may have.
Complete the following questions. Based on your responses, corrections may be made to your FAFSA to accurately reflect the
information you provide on this form.
1) Have you earned a bachelor’s and/or an associate’s degree? If you earned a bachelor’s and an associate’s degree,
check YES to both.
YES, I have earned a bachelor’s degree in _______________________________________________________, and
am seeking another degree at Leeward CC. Complete table below.
YES, I have earned an associate’s degree in _____________________________________________________, and
am seeking another degree at Leeward CC. Complete table below.
Second/Other Degree Information
A. Type of Second Degree (select one): Associates Degree Certificate Degree
B. Name of Second Degree (i.e., Accounting): ___________________________________
You must be classified in the degree you indicate above.
C. Entering/starting term of Second Degree (i.e., Fall 2017): ________________________
NO, I certify that I have not earned a bachelor’s or an associate’s degree. I am seeking my first degree.
2) At the beginning of the 2019-2020 school year, will you be working on a master’s or doctorate program?
I certify that the information above is true and correct to the best of my knowledge. I understand that any false statement
or misrepresentation may be cause for denial, reduction, or repayment of financial aid.
Student Signature: ___________________________________________________________ Date: ___________________
University of Hawai'i institutions do not discriminate on the bases of age, race, sex, color, national origin, or disability in its programs and
activities. For more information or inquiries regarding these policies, please contact the individual campus Title IX Coordinator. UH Title IX
Coordinators' names and contact information are available at: