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Message From The CEO
 
 International Application - Chaminade University 

(I) APPLICATION INFORMATION
 
First Name:
 *
Last Name:
 *
Middle Name:
 *
(Nickname) Prefer to be called:
 *
Email Address:
 *
Address:
 *
City:
 *
State:
 *
Zip Code:
 *
Full Permanent Address if Different from above:
 *
Phone including country/area code:
 *
2nd Phone including country/area code:
 *
Fax including country/area code:
 *
I am applying as:
New Freshman
Unclassified
Returning
Transfer
Early Admission
Evening to Day
Full-time
Part-time
If returning please state last date attended:
 *
Term applying for:
Fall 2006
Fall 2007
Fall 2008
Spring 2006
Spring 2007
Spring 2008
Citizenship:
U.S. Citzen
U.S. National
Permanent Resident
State or Teritory of residence:
 *
Non U.S. Citizen
What is your Country of Citizenship?:
 *
Do you require an I-20/VISA to study in the U.S.?:
Yes
No
For students previously issued an I-20: SEVIS ID#:
 *
Gender:
Female
Male
Date of Birth Month/ Day/ Year:
 *
What academic areas (s) of interest do you plan to pursue?
1st Choice:
2nd Choice:
If you are unsure about your major at this time check undecided below:
Undecided
(On-campus housing is NOT guaranteed upon acceptance to Chaminade)
Do you plan to live on-campus?:
Yes
No
(Priority deadlines for financial aid are March 1 for the Fall term and October 1 for the Spring term)
Dou you intend to apply for financial aid?:
Yes
No
How did you learn about Chaminade?: (APPROVED AGENT PLEASE SELECT YOUR ORGANIZATION'S NAME)
 
Additional Information (optional)
Place of birth:
Religious Preference:
How would you describe yourself? Please select all that apply:
Afican American/Black
Chinese
Filipino
Hawaiian
Hispanic/Latino
Japanese
Korean
Micronesian
Native American (Am.Indian Alaskan)
Samoan
Vietnamese
White Non-Hispanic
Asian/Pacofic Islander (Other than listed)
Diverse
(please specify below)
Non-Resident Alien
Did one or both of your parents receive a 4-year degree from a college or university?:
Yes
No
(II) FAMILY INFORMATION
Father's Full Name:
 *
Mother's Full Name:
 *
Legal Guardian's Full Name (if not parent):
 *
Information sent to parent(s)/guardian should be addressed to:
Please provide the mailing address for the person(s) indicated above:
 *
Phone Number:
 *
 
(III) ACADEMIC INFORMATION
High School Information
(1) Name of High School:
 *
Location of school:
 *
Attended from (Month/Year):
 *
Attended to (Month/Year):
 *
Graduation Date:
 *
GED:
(2) Name of High School:
 *
Location of school:
 *
Attended from (Month/Year):
 *
Attended to (Month/Year):
 *
Graduation Date:
 *
GED:
 
Colleges/Universities Attended:
(1) Name of School:
 *
Location:
 *
From: (Month/Year)
 *
To: (Month/Year)
 *
Name of Degree/Major:
 *
Graduation Date:
 *
(2) Name of School:
 *
Location:
 *
From: (Month/Year)
 *
To: (Month/Year)
 *
Name of Degree/Major:
 *
Graduation Date:
 *
(3) Name of School:
 *
Location:
 *
From: (Month/Year)
 *
To: (Month/Year)
 *
Name of Degree/Major:
 *
Graduation Date:
 *
 
TEST REQUIREMENTS
Please check the appropriate box and indicate the date:
I have taken the:
SAT test
ACT test
SAT test Date:
 *
ACT test date:
 *
Results sent to CUH?:
 *
I will take the:
SAT test
ACT test
SAT test Date will be:
 *
SAT test Date will be:
 *
Results sent to CUH?:
 *
is Englisg your first Language:?
YES
NO
If no please indicate your first language:
 *
If English is not your first language the Test of English as a Foreign Language (TOEFL) or the English Language Proficiency Test (ELPT) is required. Please check the appropriate box and indicate the date:
I Have taken TOEFL/ELPT
I will take TOEFL/ELPT
DateTaken:
 *
Date test will be taken:
 *
Results sent to CUH?:
 *
(Official test results should be requested from the testing services and sent directly to Chaminade's Office of Admissions. Tests must have been taken within the past 2 years).
 
(IV) EXTRACURRICULAR ACTIVITIES
Briefly describe your involvement in any high school organizations honor societies clubs athletics community projects volunteer work or special interests you may have. Please attach a separate page if necessary
(a) Activity/Position Held:
 *
Responsibilities:
 *
From: (Month/Year)
 *
To: (Month/Year)
 *
(b) Activity/Position Held:
 *
Responsibilities:
 *
From: (Month/Year)
 *
To: (Month/Year)
 *
(c) Activity/Position Held:
 *
Responsibilities:
 *
From: (Month/Year)
 *
To: (Month/Year)
 *
 
(V) PERSONAL STATEMENT
Please tell us why you are applying to Chaminade University of Honolulu. Write 2-3 paragraphs in the space providedattach additional sheets if necessary.
Personal Statement:
 *
Electronic Certification and Signature:
I hereby certify that the information given in this application is complete and correct to the best of my knowledge and that the personal statement I have submitted is my own work.
I decline to certify
Today's Date:
 *
Electronic Signature:
 *
Security code:
 *
Do not enter anything in this field:
* indicates a required field


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