Date:
Dear Honolulu Community College Admissions and Records Department;
I am requesting to roll my application information over from Fall/Summer/Spring (circle a
term) _____ to Fall/Summer/Spring (circle a term) _____.
(year) (year)
Thank you,
______________________________
UH Student ID Number
______________________________
New Major & Degree Type (if changing)
______________________________
Printed Name
______________________________
Signature
Application Roll Over Request Form
Last Revised: 7/11/2018 (FT)
Please Note: Students are eligible for a roll over request for over a span of two years, from 2016 only, moving forward. HonCC
must have been the student’s last home campus. We look at both the student’s last year of acceptance and/or the student’s last
year of registraon. If a student’s record is inacvated in the system for any reason, the student will need to resubmit another
online applicaon. The fall term deadline is August 1, and spring term is December 15. Please ask about summer term deadlines.
THERE ARE NO ROLL BACKS.
