STEP 1 OF 9: PERSONAL INFORMATION

STEP 2 OF 9: HIGH SCHOOL & EDUCATIONAL PLAN

My career choice(s) and/or major for college might be:

STEP 3 OF 9: ETHNICITY & CITIZENSHIP

STEP 4 OF 9: FAMILY INFORMATION

STEP 5 OF 9: INCOME VERIFICATION

STEP 6 OF 9: DETERMINATION OF DEPENDENCY

The following questions pertain to the student applicant. If you answer “YES” to any of the questions below, the Income Verification section will be based on your (the student’s) income information. If all responses are “NO”, the Income Verification will be the parent’s information and the application will need to be signed by both the student applicant and the parent and/or guardian.

STEP 7 OF 9: CURRENT EDUCATION PROFILE

STEP 8 OF 9: NEEDS ASSESSMENT

STEP 9 OF 9: READ BELOW / SIGN AND DATE

PHOTO RELEASE: Unless I select to opt-out, I hereby grant the TRIO program and the University of Hawai'i Maui College the right to use and publish photographs of me, or in which I may be included, for editorial trade, advertising, and any other purpose and in any manner and medium, and to alter the same without restriction. I hereby release the photographer from all claims and liability relating to said photographs (for example, the programs use student photos for brochures or promotional videos).

HIGH SCHOOL & COLLEGE RECORD RELEASE: A copy of this final box of the form may be sent to secondary schools and/or colleges for release of transcripts, grades, records, test scores, status of student, and degrees earned. The TRIO programs are required to provide an annual report to the U.S. Department of Education with data obtained from individual student records, which allows for the continuation of funding to offer free student services. As such, we, the undersigned, authorize the release of official and/or unofficial documents reporting grades, test scores, student status, other academic records, and college majors/degrees to TRIO programs at the University of Hawaiˋi Maui College valid from the date below until six years post-high school graduation. I understand that the information in these records will only be used to assess the student's need for program services, evaluate the effectiveness of program activities, and fulfill federal program-reporting requirements. Furthermore, I hereby give the TRIO programs permission to forward my information to other programs and/or departments within the University of Hawaiˋi System whose services will best meet my needs.

POST-SECONDARY VIRTUAL COUNSELING CONSENT: I, the parent or legal guardian understand my child may be interested in applying to an institution of higher learning. I authorize The Educational Opportunity Center and its officers, agents, and employees the right to discuss information related to college admissions and financial aid applications through remote services such as Zoom, Google Meet, and telephone.

Students who answered "NO" to all of the dependency questions MUST have a parent's signature on their application. Students who answered "YES" to any of the dependency questions may answer the Parent Signature Section with "N/A"

310 W. Ka'ahumanu Ave. Kahului HI 96732 

(808)984-3286 | Email at eoc@hawaii.edu 

This institution is an equal opportunity provider.

 Important Notice: All Applicant information will be kept in strict confidence and not released.