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I
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•
UNIVERSITY
of
HAWAl'I•
~
HILO
I
Once your Intent-to-Enroll form has been received and processed by the Admissions Office you will
be allowed to register for classes during one of our advising and registration sessions.
Intent to Enroll Form
(Your ID is printed on your acceptance letter)
Student ID Number:
Name
Last First
Address (Street
Number or P.O. Box)
City State Postal/Zip Code
YES! I accept your offer of admission and will enroll forthe
Fall Spring Semester
No. I will not enroll at this time.
MI
GENERAL UNDECLARED MAJORS ONLY (Indicate an area of interest below):
Agriculture Hawaiian Studies Social Sciences Education
Business Administration
Humanities Natural Sciences
No area of interest yet
Date
Signature
By entering your full name above you agree that it is the same as your signature
Intent to Enroll Fee Form: You do not need to pay the $60 non-refundable tuition deposit at this time if you are applying for
financial aid. Please indicate your financial aid status or method of payment below. If you are paying the fee you can do so by
check or money order drawn from a U.S. Bank or by credit card.
Please fill in the appropriate information below:
I am applying for Financial Aid and I intend to enroll at UH Hilo (if yes check box and submit form)
Choose
One
I am submitting my $60 payment. (if yes check box and indicate payment type below)
If submitting payment, indicate method of payment below:
Money Order or Check (attach check or money order drawn from a US Bank and submit form)
Choose
One
Credit Card (complete credit card information below and submit form)
Credit Card Information (complete if paying by credit card):
Cardholder Name: Phone:
Address (Street
Number or P.O. Box)
City
State Postal/Zip Code
Master Card
Card Number
CVV2 Expiration Date
Visa
Agreement: I agree to pay $60.00 (U.S.) according to the card issuer agreement. By signing the payment authorization form, I
acknowledge that the fee is non-refundable and non-transferable.
Card Holder Signature
Date
You may fax the form to: UH Hilo Admissions Office at 1-808-932-7459 or mail the original to: UH Hilo Admissions Office, 200 West
Kawili Street, Hilo,, Hawai`i 96720. Cash payments can only be made by visiting the Business Office on campus.
click to sign
signature
click to edit
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click to sign
signature
click to edit
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