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University of Hawai‘i Hilo
Chancellor's Scholarship Application
Last Name First Name M.I.
Social Security Number Sex
Male Female
Home Phone Number
Mailing Address City State Zip code
High School Attending Email Address College Major (if known)
Honors and Awards Received
Leadership and/or service involvement (school or community)
Personal Statement: On a separate sheet, describe why you would like to attend the University of Hawai‘i Hilo and what you
feel you can contribute as a student in our community.
I attest that all the information on this application is true and correct to the best of my knowledge. I agree to provide supporting documents and verification of
information upon request and give permission to the Scholarship Committee to access any educational records I have on file with the University of Hawai‘i Hilo.
Signature Date
Send to: Admissions Office, University of Hawai‘i Hilo, 200 W. Kāwili Street, Hilo, Hawai'i 96720-4091or send an e-mail to
uhhadm@hawaii.edu (Deadline: March 1st).
click to sign
signature
click to edit
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