AANMELDING. Zorg ervoor dat je alle velden van het aanmeldingsformulier invult. Lees de onderstaande tips voordat je het formulier invult:

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AANMELDING Study Abroad Hawaii Pacific University KILROY education helpt je met de aanmelding aan de Hawaii Pacific University. Onze studieadviseurs informeren je over opleidingen, toelatingseisen, collegegelden, eventuele studiebeurzen, huisvesting en visa. We maken graag een afspraak met je voor een persoonlijk advies op het kantoor van KILROY in Utrecht en staan tijdens het gehele aanmeldproces klaar voor al je vragen. Neem contact met ons op om een afspraak in te plannen. Naast studieadvies en begeleiding kan KILROY je ook helpen met vliegtickets en een reisverzekering speciaal voor studenten die langer in het buitenland verblijven. Weet je al wat je wilt studeren? Vul dan hieronder direct het aanmeldingsformulier in. Stuur het aanmeldingsformulier en de bijbehorende documenten per post of e-mail naar KILROY education. Wij controleren of alle gegevens juist zijn ingevuld en de juiste documenten zijn meegestuurd. Daarnaast zijn wij bevoegd jouw diploma s te certificeren en kunnen wij de aanmelding snel afhandelen door alle documenten per e-mail aan de Hawaii Pacific University te versturen. Zorg ervoor dat je alle velden van het aanmeldingsformulier invult. Lees de onderstaande tips voordat je het formulier invult: - Academic information: Vul hier je contactgegevens en het studieprogramma dat je gaat volgen in. - International students only: Een vereiste voor toelating is een taaltest Engels. Neem contact met ons op voor meer informatie. - Application fee: Voor het aanmelden betaal je een bedrag van 50 dollar. Dat kun je <<hier>> doen. Voeg de factuur toe bij het verzenden van het aanmeldingsformulier. - Statement of Financial Sponsorship: Het bewijs dat je over voldoende financiële middelen beschikt voor je studie en levensonderhoud in de Verenigde Staten. Neem contact met ons op voor meer informatie. - Vergeet niet te ondertekenen! - Stuur het applicatieformulier en de bijbehorende documenten naar KILROY education

Checklist aanmelding study abroad Diploma van de middelbare school in het NEDERLANDS en ENGELS. Indien nodig kan KILROY je diploma en cijferlijst vertalen naar het Engels. Een overzicht van het huidige vakkenpakket in het ENGELS (niet verplicht) Voor het aanmelden betaal je een bedrag van 50 dollar. Dat kun je <<hier>> doen. Voeg de factuur toe bij het verzenden van het aanmeldingsformulier. Kopie van je paspoort De score van je taaltest (bijv. IELTS/TOEFL). Weet je niet of je een taaltest Engels moet doen? Neem contact met ons op voor meer informatie. Het bewijs dat je over voldoende financiële middelen beschikt voor je studie en levensonderhoud in de Verenigde Staten. Neem contact met ons op voor meer informatie. Vergeet niet de gecertificeerde kopieën te ondertekenen en mee te sturen! Stuur het aanmeldingsformulier en de documenten naar: KILROY education Nobelstraat 117 3512 EM UTRECHT

Hawai i Pacific University STUDY ABROAD HAWAI I Program for Short-Term Study Dear Student, Thank you for applying to the Study Abroad at Hawai i Pacific University (HPU) Program. To ensure your application is complete, please use the list below and check off the items required. Application Checklist $50.00 Application Fee $200.00 Study Abroad Pre-registration Deposit (non-refundable) Completed Study Abroad Application Form Official Academic Transcripts (officially certified, in English) * Proof of Financial Sponsorship (original) Copy of Passport Photo Page Proof of English Proficiency (original or officially certified test results) www.hpu.edu/englishtest Course Selection (highly recommended to send along with the application; however, this may be submitted later) Additional Documents (these items will be needed as well; however, they may be submitted later): Proof of Health Insurance (must meet HPU requirements) www.hpu.edu/healthinsurance Measles, Mumps, Rubella (MMR) verification for 2 doses each (Hawai i State Law) *Official high school transcripts must be an original document issued by the school or an officially certified copy provided by the school (stamp and signature must be certified in blue or red ink). Official university transcripts must be an original document issued by the university only, and may not contain any notes/stamps other than those of the issuing institution. These original transcripts must be mailed. Faxed or scanned versions, as well as uncertified copies, are not acceptable. Transcripts issued in another language must include an English version prepared by the school or a certified translator. APPLICATION 1

Application Form for Study Abroad Program at Hawai i Pacific University Personal Information (please type or print clearly): Please complete your name as shown on your passport and submit a copy of your passport along with the application. Name: Family/Last Name Given/First Name Middle (Note: Please print name as it appears on your passport) Date of Birth: / / SEVIS #: Gender: Male Female Month Day Year (if known) Country of Birth: Country of Citizenship: Native Language: Visa Type (if known): Current Mailing Address: Street Number and Name City/Town Postal Code Country Telephone: (+ ) Fax: (+ ) Country Code City Code Number Country Code City Code Number Cellular: (+ ) Country Code City Code Number E-mail: Permanent Address (if different from above): Street Number and Name City/Town Postal Code Country Telephone: (+ ) E-mail: Country Code City Code Number How did you first hear about HPU? What influenced your decision to apply? ( e.g., family, teacher, college fair, etc. ) Emergency Contact (required): Name: Family/Last Name Given/First Name Middle Telephone: (+ ) E-mail: Country Code City Code Number Relationship to student: 2 APPLICATION

Academic Information (please type or print clearly): Year applying for: Study Abroad term(s) applying for (please choose your term, maximum two (2) semesters): Fall Semester (September December) Spring Semester (January May) Note: Exact dates are available at www. hpu.edu/schedule Summer Session I (May June) Summer Session II (June August) Summer Session III (July August) Entire Summer (May August) How many terms will you study at HPU? (please make sure that you have checked all terms above) Level of Studies: Undergraduate (bachelor s degree level) Graduate (master s degree level)* * You MUST have completed a U.S. bachelor s degree or equivalent to be able to take courses at the Graduate level. Academic Background Name of university you are currently enrolled in or high school you have graduated from: University Students if you are currently attending a university, you MUST** complete this whole section Name of program you are currently enrolled in at your university: Length of program (Years): Years completed: Please list any courses in which you are currently enrolled that do not appear on your university transcript: English Requirements As an international student, you are required to show written proof of your English proficiency by submitting test results. HPU accepts a variety of English language tests that are listed at www.hpu.edu/englishtest Please note that test scores expire after two years. I have not taken an English proficiency test. I am planning on taking an English proficiency test in / (month/year). I have taken an English proficiency test. Name of test: Score: Year taken: Short-term study abroad students whose essay results are below the required HPU English proficiency standard must enroll in one English writing course at HPU. APPLICATION 3

Statement of Financial Sponsorship (Valid May 2013 - April 2014) U. S. Immigration Law requires you to certify that you have sufficient funds available for your academic and living expenses. Below are the estimated minimum funds, based upon the 2013-2014 school year expenses. The total amount of your costs depends on the number of terms you plan to study at HPU. Fall or Spring Semester Fall and Spring Semester Entire Summer** One Summer Term* Tuition $ 9,250 $ 18,500 $ 4,260 $ 2,130 Housing and Living Expenses $ 6,275 $ 12,550 $ 6,275 $ 3,200 College Related Expenses*** $ 1,740 $ 3,480 $ 1,400 $ 700 TOTAL $ 17,265 $ 34,530 $ 11,935 $ 6,030 * Costs for summer terms are determined on an individual basis by number of courses and terms. This is an estimate for an individual taking two undergraduate classes (6 credits) during one summer term (7 1 /2 weeks). ** This is an estimate for an individual taking four undergraduate classes (12 credits) during the entire summer (13 weeks). *** Books, health insurance, etc. Note: Tuition and housing costs will increase starting in May 2014. Applicants must complete all sections below: Name of Student: Last/Family First/Given Middle I understand that I am required by U.S. Immigration Law to provide the University with adequate documentation indicating that I will have sufficient funds to cover my studies in the United States. Signature of Student: Date: Please Complete Sections 1 and 2 below: 1. Sponsor's Statement I am aware of the costs of an education at Hawai'i Pacific University and I assume financial responsibility for the sponsored student's expenses. Sponsor's Signature Date Sponsor's Name Relationship to Student Sponsor's Address Telephone Fax 2. Financial Support Documentation You must provide at least one of the following, showing the total estimated expenses of your study time - must be original documents. A. Submit a scholarship letter (government, private, company), or your own original bank statement, or your sponsor's original bank statement showing sufficient funds for your studies. or B. Submit a letter from your bank stating that you or your sponsor has sufficient funds to support your education at HPU. or C. Bank official's statement: To the best of our knowledge the above-named sponsor has sufficient income and assets to support the sponsored student to attend Hawai'i Pacific University. (This statement in no way obligates the bank nor its officials to any financial liability.) Bank Official's Signature Bank Official's Name Bank Official's Title Date Name of Bank Phone Number Bank Seal or Stamp Here SoFS APPLICATION kk_02/2013

HPU Course Selection (can be submitted at a later time) www.hpu.edu/courses As an international student, you are required by U.S. regulations to be enrolled full time. For fall and spring semesters, undergraduate students must enroll in a minimum of four courses (12 credits) and graduate students in at least three graduate courses (9 credits). Be sure to consider how many credits your school will require you to take for full-time status. (Note: Only one course may be online) Below are some other criteria pertaining to the level of courses you may enroll in: Students who have completed high school only, may select HPU courses with numbers 1000 to 2500 (for example: MGMT 1000). Students MUST enroll in WRI 1100 and may choose four additional courses. Current university students who have completed at least two semesters of studies, may select four to five undergraduate courses with numbers 1000 to 4500. Students who have already completed a bachelor s degree may select courses with numbers 5000 and higher. Undergraduate students are allowed to take one online course for every 12 credits they are registered for. *Note: Depending on your written English test score, you may be required to take WRI 1100 as one of your courses. HPU course schedules are available at www.hpu.edu/courses and they are posted approximately four to five months prior to the start of each semester/term. All courses have brief descriptions, number of credits, as well as prerequisites listed online. You cannot take a course unless all prerequisites have been met. Note: Consider your selections carefully as changes will only be permitted upon arrival in consultation with an academic advisor. Example: HPU Course number: MKTG 3100 Course name: Consumer Behavior Course 1st Choice Course 2nd Choice Course 3rd Choice Course 4th Choice Course Last Choice Alternative courses (it s MANDATORY to choose at least two (2) alternative courses): Alternate Course #1 Alternate Course #2 HPU Course number: Course name: Alternate Course #3 HPU Course number: Course name: Alternate Course #4 HPU Course number: Course name: *A $30 Add/Drop fee will be automatically applied for course changes made after registration is completed. APPLICATION 5

TIMELINE What happens after you submit your application? STEP 1 Acceptance As soon as HPU receives your application, it will be processed by the Office of International Admissions. Within a few days, you will receive an e-mail that the application has arrived as well as further instructions. After another week, HPU will inform you about your admissions status via e-mail. If you are accepted into the Study Abroad Program, HPU will mail you an official acceptance letter along with a comprehensive information packet two to three weeks after the acceptance e-mail notification. You will also get access to the HPU Intranet (called Pipeline) once you are accepted. STEP 2 I-20 Form and VISA <www.hpu.edu/visa> Once you have submitted the required financial documents, Hawai i Pacific University will issue the I-20 form (required by the U.S. Consulate in your country to apply for the F-1 student visa) and mail it to you. After you have received the I-20 form, you must first pay a SEVIS fee before scheduling an appointment with your local U.S. embassy for your visa interview. Information about this process may be found at www.hpu.edu/visa Depending on the embassy, it might take up to several weeks to receive your F-1 student visa. STEP 3 Course Selection and Registration < www.hpu.edu/courses> As soon as the HPU course schedule is available online (www.hpu.edu/courses), you may select courses and submit your list to your admissions coordinator, if you have not already done so. An HPU advisor will review your course selection to ensure that the selected courses meet your needs and interests. HPU will also look at your high school or university transcripts to determine if you have the appropriate background knowledge for the HPU classes you have chosen and that all prerequisites have been met. If no further information is needed, you will be registered and contacted via e-mail to inform you about your course registration. STEP 4 Pre-departure < www.hpu.edu/depart > To prepare you for your education abroad, you will find helpful information on the HPU Web site (www.hpu.edu/depart), in your acceptance packet, as well as on HPU s Intranet (Pipeline). Carefully read through the resources which contain helpful information on housing, airport pickup, health care, etc. to ensure a smooth transition to HPU. Contact your admissions coordinator or country representative if any questions arise. STEP 5 Arrival < www.hpu.edu/arrive > Welcome to Hawai i! After you arrive in Honolulu, the International Center staff will help you every step of the way. We offer comprehensive services, including airport pickup (must be prearranged), various check-in sessions, orientation activities, and much more. During the entire process, you will receive monthly updates on your admissions status via e-mail, as well as helpful information preparing you for study and life in Hawai i. 6 APPLICATION

Payment Options Application Fee & Pre-registration Deposit 1. Wire Transfer Total amount is US $50 application fee + US $200 Study Abroad Pre-registration deposit ( non-refundable unless not accepted into the program )= US $250 For more information, please contact the International Center at (808) 543-8088 or international@hpu.edu 2. Traveler s Checks/Bank Drafts Total amount is US $50 application fee + US $200 Study Abroad Pre-registration deposit ( non-refundable unless not accepted into the program )= US $250 Make the check payable to Hawai i Pacific University. 3. Study Aboard Self Applying Applicant: Please vist the following link: https://secure.touchnet.com/c20833_ustores/web/store_cat.jsp?storeid=7&catid=6&singlestore=true Applicant s Signature I hereby certify that all information provided above and all references listed in or enclosed with this application is to the best of my knowledge true and correct. Signature: Date: Hawai i Pacific University International Center 1164 Bishop Street, Suite 1100 Honolulu, Hawai i 96813 - USA Tel: +1 (808) 543-8088 Fax: +1 (808) 543-8065 E-mail: international@hpu.edu Web site: www.hpu.edu/abroad Rev. 08/2012 bkb APPLICATION 7

Hawai i Pacific University International Center 1164 Bishop Street, Suite 1100 Honolulu, Hawai i 96813 - USA Tel: +1 (808) 543-8088 Fax: +1 (808) 543-8065 E-mail: international@hpu.edu Web site: www.hpu.edu/abroad