Financial Aid Office * 96-045 Ala Ike Street * Pearl City * 96782
Phone: 808 455-0606 * Fax: 808 453-6371 * Website:, MyUH Services:
2020-2021 Second Degree Form
_____________________________________________ _____________________ _________________
Last Name First Name UH ID/Username Phone Number
You must complete this form because our records show that you earned a bachelor’s degree and/or an associate’s degree.
Complete the following two questions. Based on your responses, corrections may be made to your FAFSA to accurately reflect
the information you provide on this form.
1) Did you earn a bachelor’s and/or an associate’s degree? If you earned both, check YES to both.
NO, I certify that I did not earn a bachelor’s degree or an associate’s degree. I am seeking my first degree.
If your answer is NO, do not complete the table below; skip to question 2.
YES, I earned a bachelor’s degree in ________________________________ (i.e. Accounting).
YES, I earned an associate’s degree in ________________________________ (i.e. Accounting).
If your answer is YES, you are considered to be seeking a “Second Degree”, and must complete the table below.
Second Degree Declaration:
Indicate the second degree or certificate you are now seeking at Leeward CC:
Select one: AA/AS CA CO APC in ________________________________ (i.e. Teaching)
An Academic Counselor will complete a “Second Degree Evaluation” by evaluating your prior credits, which will
determine if you have credits of financial aid eligibility for your Second Degree.
Second Degree Terms and Conditions:
Read and ensure you understand the following (print or type your initials after you have read each statement):
______ You must be truly seeking the degree/certificate that you declared above.
You must be CLASSIFIED in the degree/certificate that you are seeking. If you are not, complete a
Student Data Change Form and submit to the Admissions and Records Office. The evaluation cannot
______ be completed until you are classified in your Second Degree program.
Transfer credits that come in after the evaluation will require a re-evaluation, which may affect your
______ credits of financial aid eligibility for your “Second Degree.
______ You will be allowed only one re-evaluation if you change your second degree/certificate.
2) At the beginning of the 2020-2021 school year, will you be working on a master’s or doctorate program?
NO, I will not be working on a master’s or doctorate program.
YES, I will 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: