Non-Degree Seeking Application - Former Students

Last Name

First Name

Middle Name

Birth Date

BYUH ID#

Gender

Male

Female

Marital Status

Single

Married

Religious Affiliation

LDS

Other

Semester Applying For

Students must re-apply if more than one (1) semester is unattended in between enrollment.

Mailing Address

City

State/Province

Zip Code

Country

Street Address is Same as Mailing Address?

Yes

No

Phone Number

Email

Please select the status that applies to you

Do you require special assistance?

Yes

No

Emergency Contact Full Name

Relationship to You

Emergency Contact Address

City

State/Province

Country

Zip Code

Email

Phone Number

Applicant's Commitment

I have read and discussed the BYU–Hawaii Honor Code with my ecclesiastical leader. I understand what the Honor Code is and what my obligations are.
• I agree that the university may obtain confidential recommendations from church leaders and high school counselors concerning my application for admission and hereby waive any right I may have under university policies or federal or state laws to examine confidential recommendations received by the university.
• I also agree to allow the university to supply information relative to my BYU-Hawaii academic or financial records to appropriate federal/state agencies or parents/guardians when needed.
• I hereby certify all statements in this application are complete and true and acknowledge that my admission and my continuing status are conditional on such completeness and truthfulness.
• I also understand that:
- I will be held accountable to the same academic standards as degree-seeking BYU–Hawaii students, coming through Admissions.
- Non-degree seeking students are not eligible for: on-campus housing, student jobs at BYUH, student jobs the Polynesian Cultural Center or any other church entities, student medical insurance, university scholarships, Pell Grant or other Federal Government student loan programs.
- Student’s ecclesiastical endorsement must be current during the time of their attendance at BYUH. The endorsement must be renewed and re-submitted every year prior to expiration.
- Students are able to take up to 6 credit hours per semester. An approval via University Scheduling is required if the amount of credits exceed the maximum. The tuition charge will be per credit and tuition benefit is available only for those who are full-time employees and their dependents whom are determined eligible by BYUH Human Resource (HR). It is the applicant’s responsibility to submit the form to HR at the beginning of every semester they attend.
- Non-degree seeking students who wish to become an undergraduate degree-seeking student at BYUH must contact Admissions to apply as a regular student.

Caveat: subject to changes.

I hereby confirm that I have read and understand the above statements

Math question 4 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.