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2020-21%H igh %School% Completion %Verification%
Your FAFSA was selected for a% review process called verification. In the process, information from your FAFSA will be compared% to% this document.
The law states that the campus must ask for this information before awarding financial aid. If there is a difference between% your FAFSA% information%
and your documents, corrections will be% made% to your FAFSA and your information will be% reprocessed.
You must complete and sign this worksheet and submit it along with any documents requested. We cannot continue processing your financial aid%
application until verification is completed.
A. STUDENT# INFORMATION
Last Name
First Name
M.I.
UH% ID% Number/Username
Phone% Number
Date of Birth
B. HIGH SCHOOL COMPLETION STATUS
You MUST submit documentation of high school completion status% at the beginning of the academic% year.
Copy of
your official high% school transcript or high% school diploma including graduation% date.
Copy of your General Education% Development (GED)% Certificate or% copy of% official GED transcript% that% ind icates the date the exam (HiSET,
TASC, or
other State-authorized exam) was passed, or a% state-authorized high school equivalent certificate.
Academic tr
anscript of a successfully completed% two-year program acceptable for full credit toward a bachelor’s% degree.
If %you %are a %hom e sch o o le d %student, a %copy %of a %state %secon d ary %school%completion %cr ed e n tia l%tra n sc rip t %o r %equivalent, %OR a %transcript or
the eq
uivalent% signed by parent% or% g ua rdian , listing secondary school% courses you have completed and documentation that you have
successfully% completed secondary% sch ool education.
Students wh
o completed secondary education in a% foreign country, a% copy of the% “secondary school leaving certificate” or other similar
document.
Student’s Signature: Date:
WARNING:%If# you# purpos ely# give #false #or #misleading #informatio n# on# this# worksheet, #you# may #be #fine d, #be #sentenced# to #jail, #or #both. #
D
O#N OT# MAIL# THIS# WORKSHEET# TO#T HE# U.S.# DEPARTMENT#O F#E DUCATION #
RETURN #THIS# FORM #ALONG #WITH #ANY# OTHER#RE QUIRED# DOCUMENTATION #TO #THE# COMMUNITY# COLLEGE# CAMPUS# THAT# YOU# WILL# BE# ATTENDING:#
Community College
Address
Phone
Hawaiʻi Community College
1175% M anono Street *% Hilo, HI 96720
(808)% 934-2712
Honolulu Community College
874% Dillingham Boulevard *% Honolulu, HI 96817
(808)% 845-9116
Kapiʻolani Community College
4303% Diamo nd Head Road *% Honolulu, HI 96816
(808)% 734-9537
Kauaʻi Community College
3-1901% Kaumualiʻi Highway *% Lihuʻe, HI 96766
(808)% 245-8360
Leeward Community College
96-045% Ala% Ike% Street *% Pearl City, HI 96782
(808)% 455-0606
University of Hawaiʻi Maui College
310% W est Kaʻahumanu Ave% *% Kah ului, HI 96732
(808)% 984-3277
Windward Community College
45-720% Keaʻahala% Road *% Kāneʻohe, HI 96744
(808)% 235-7449
The University is committed% to% a% policy of nondiscrimination on the% basis% of race, sex, gender identity and expression, age, religion, color, national origin, ancestry, citizenship, disability,
genetic% information, marital status, breastfeeding, income% assignment for child support, arrest and court record (except as% permissible% under State% law), sexual orientation, national guard
absence, or status% as% a% covered veteran.
UH Title% IX% Coordinators' names% and contact information are% available% at: https://www.hawaii.edu/titleix/help/coordinator/ and UH 504%
Coordinators’ names a
nd% contact information% are available at: https://www.hawaii.edu/offices/eeo/ada-504-coordinators/
FAO USE# ONLY
Documents re
viewed: FAO Signature:
UH# HILO, UH# WEST OAHU# AND# UH# MĀNOA# STUDENTS NEED# TO CONTACT THEIR FINANCIAL AID# OFFICE FOR CAMPUS SPECIFIC FORMS.
Rev. 10/2019
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