University of Hawai'i at Hilo
Application to Accept On-Campus Employment for F-1 Student
Date :
Name:
UH ID Number:
Expected Graduation Date:
Major:
Cumulative GPA: Last Semester GPA:
Place of Employment (Dept.):
It is your responsibility to maintain full-time enrollment at UH Hilo. You may not work more than twenty (20)
hours a week when school is in session. You may work full-time during periods when school is not in session.
The Director of International Student Services & Intercultural Education reserves the right to rescind this work
authorization if you do not follow the above conditions.
This section will be completed by the Director of
International Student Services & Intercultural Education
Approved for (dates):
Denied because:
Held pending:
Fall Summer Spring
Year
to
Date:
By: Title: Jim Mellon, Director of
International Student Services &
Intercultural Education