UNIVERSITY OF HAWAI`I
Change of Home Institution Form
All students accepted or enrolled in the University of Hawai`i system have a Home Institution. The home institution should be the school from which the
student is seeking a degree and is where the student may apply for financial aid or veteran education benefits.
DO NOT use this form if you want your new Home Institution to be UH Mānoa, UH Hilo, or UH West O`ahu.
If you are already accepted or enrolled and you want to change your Home Institution, complete this form and submit it to the
Admissions/Records office of your new Home Institution. The fall semester deadline is August 1, and the spring semester deadline is December 15
(Check for summer deadlines.)
To participate in early registration at your new Home Institution, submit this form by April 1 for Summer/Fall registration and November 1 for Spring
registration.
Be sure your mailing address and/or phone number is current. Log on to MyUH to update your mailing address and/or phone number or go to your new
Home Institution webpage to download the appropriate change form.
Your Tuberculosis (TB) reading, Measles, Mumps, and Rubella (MMR) immunization, Tetanus-Diphtheria-Pertussis (Tdap) immunization, and Varicella
(VC) immunization are all required prior to registration.
NAME UH ID or Username
Print Last Name, First Name, M
REQUESTED EFFECTIVE TERM: (choose only one)
❑ FALL 20 ❑ SPRING 20 ❑ SUMMER 20
NEW HOME INSTITUTION: (choose only one – changing your home institution may affect your graduation requirements, see your academic counselor
for more information)
❑ Hawai`i CC ❑ Kapi`olani CC ❑ Leeward CC ❑ Honolulu CC ❑ Kaua`i CC ❑ Maui College ❑ Windward CC
MAJOR AT NEW CAMPUS: DEGREE: ❑ AA ❑ AS ❑ AAS ❑ CA ❑ CO
Are you currently a Student F-1 or M-1 Visa Status?
❑ NO
❑ YES
Have you applied for VA education benefits or are you receiving VA education benefits?
❑ NO
❑ YES
VA Certifying Official Use Only:
❑ No, do not process CHI
❑ Yes, VA cleared VA Signature: Date:
Have you applied for Financial Aid or are you receiving Financial Aid at your current home institution?
❑ NO
❑ YES, applied
❑ YES, aid awarded
Financial Aid Use Only:
❑ No, do not process CHI
❑ Yes, financial aid cleared FA Signature: Date:
Student’s Signature Date:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FOR OFFICE USE ONLY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
__________CHI Effective Term __________Resident Status
__________Processed By __________Student Type
__________Processed Date __________SOAHOLD
HonCC A&R rev 02/21/2020
