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 it 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. To participate in early registration at your Home Institution, submit this form by April 1 for
Summer/Fall registration and November 1 for Spring registration. Check with your new Home Institution for any additional admissions requirements,
deadline dates (especially for restricted admissions majors), and effective term policy.
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.
Both tuberculosis (TB) and Measles, Mumps, and Rubella (MMR) health clearances are required of all students prior to registration.
NAME
Print Last Name, First Name, MI
UH No. or UH Username UH EMAIL @hawaii.edu
EFFECTIVE TERM: FALL 20 SPRING 20 SUMMER 20
CURRENT HOME INSTITUTION
(choose only one)
Hawai`i CC Kapi`olani CC Leeward CC Honolulu CC Kaua`i CC Maui College Windward CC
UH Mānoa UH Hilo UH West O`ahu
NEW HOME INSTITUTION
(choose only one - changing home institution may affect your graduation requirements, see your 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 __________TB Cleared
__________Processed By __________Student Type __________MMR Cleared
__________Processed Date __________SPAAPIN __________SOAHOLD
WinCC A&R rev 02/11/14 web
If YES, this Change of Home Institution CANNOT be processed until Financial Aid at your new Home Campus signs off this
change. You cannot change your home institution if financial aid has been disbursed for the semester of the change. By
changing your home institution, Financial Aid reserves the right to cancel your aid.
If YES, you are not allowed to change your home institution. Contact the Admissions office or your international student advisor at your
current home institution for details.
If YES, you need to contact the VA Certifying Official at your new home institution for details and how to transfer your VA benefits to
your new home institution.
