Last Name: First Name:
Middle Name: Student ID:
Oahu Address: City:
Zip: Phone:
Permanent Address: City:
State: Zip:
Phone: E-Mail:
School or College:
Class:
Major:
Probable Graduation Date:
What prompted this application?
If "Other" selected, list reason here:
I will ask the following faculty members for recommendations:
1.
2.
3.

 

If you have questions or need more information, stop by Sinclair 504-B, call 956-8391 or contact us at honors@hawaii.edu.