APPLICATION FOR C-MORE SCHOLARS AFFILIATE
Questions?
Email
cmorescholars@gmail.com
or call (808) 956-0901
(A) PERSONAL AND CONTACT INFORMATION
Full Name
Last name
*
Middle
First name
*
Current Mailing Address
Street
*
City
*
State
*
Zip code
*
Permanent Mailing Address (if different from current)
Street
City
State
Zip code
E-mail
*
Phone number
numbers only; no dashes
IMPORTANT NOTE
: We rely on e-mail for most correspondence.
ETHNIC ORIGIN: (check all that apply)
*
African-American
American Samoan
Asian
Caucasian
Filipino
Hispanic
Melanesian
Micronesian
Native American
Native Hawaiian
Prefer not to disclose
Other
(B) ACADEMIC INFORMATION
Current Class Standing
*
Freshman
Junior
Sophomore
Senior
Cumulative GPA
*
GPA last semester
*
Home campus (e.g. Manoa, Leeward, Hilo)
*
Major (if declared)
Minor or certificate (if any)
Year of expected graduation with Bachelor Degree
Semester of expected graduation with Bachelor Degree
Please Select
Fall
Spring
Summer
(C) HOW DID YOU HEAR ABOUT THE C-MORE SCHOLARS PROGRAM?
*
(D) APPLICANT'S CERTIFICATION
By signing and clicking SUBMIT below, I certify that the responses provided above are complete and true to the best of my knowledge and belief.
Applicant Signature
*
Submit
Should be Empty: