APPLICATION FOR ENROLLMENT
Refund Policy
STUDENT ENROLLMENT AGREEMENT
Cash or Installment Contract
Students who withdraw from Honolulu
University must request withdrawal, in
writing, to the Registrar’s Office by
Registered Mail.
$____________________1. Application Fee
$____________________2. Tuition
$____________________3. Previous Balance (if any)
$____________________4. TOTAL CHARGES
$____________________5. Combination Program Discount (tuition only)
$____________________6. Scholarship
$____________________7. Balance
$____________________8. Payment
$____________________9. BALANCE
$___________________10. Service Charge (10% of remaining tuition due)
$___________________ 11. CURRENT BALANCE DUE
Postmark on the envelope determines date of
cancellation. The refund percentage is based
on total tuition for the degree program, not
the amount paid.
APPLICATION FEE IS NOT
REFUNDABLE.
When Allowable, Tuition Refund Is As
Follows:
Up to & Including 5 days ..........100%
Through Day 14 ..........................75%
Through Day 21 ..........................50%
From Day 22 .....................No Refund
UPON ACCEPTANCE INTO YOUR CHOSEN PROGRAM, BY WHICH OF THE FOLLOWING
METHODS DO YOU INTEND TO PAY FOR YOUR TUITION?
Cash In The Following Manner:
Direct Bank Account Transferal
50% On Admission, 25% In 60 Days, 25% In 120 Days
Student Financing [12 Monthly Payments] 10% One Time Service Charge
I Authorize Honolulu University To Charge My Tuition Payment Of $______________
By The Following Credit Card : Signature:_____________________________________________
Mastercard
(Exp. Date_____________________)
Visa
(Exp. Date_____________________)
Jcb Card
(Exp. Date_____________________)
Account #:_____________________________________________________________________
Student agrees to pay said "Total of Payments", in monthly installments of $_________________ beginning and all subsequent
installments on the same day of each consecutive month until paid in full. I agree to pay a one-time service charge of 10% to
cover administration office expense for processing this contract. This agreement, when signed by a Honolulu University
Representative and the Student, becomes a legal document specifying payment arrangements.
TRUTH STATEMENT AND ACCEPTANCE OF PAYMENT CONTRACT
I hereby swear or affirm the information given in this application is true and complete. Further, I
have read and understand the refund policy and agree to abide by its terms. I understand that upon
completion of all requirements and payment in full of all moneys owed, I will be awarded the degree which
I have earned. All terms and conditions of this contract shall be governed by the laws of the State of
Hawaii. In the event of a dispute between the parties to this contract, all parties agree that jurisdiction shall
be in the State of Hawaii.
SIGNATURE:
DATE
_______________________________________________________________________________________
APPLICATION FOR ENROLLMENT
NAME
BIRTHDATE
SS#
_______________________________________________________________________________________
ADDRESS
PHONE #
FAX#
_______________________________________________________________________________________
CITY
STATE
COUNTRY
ZIP
PLACE OF BIRTH
US CITIZEN
Yes No
_______________________________________________________________________________________
CURRENT OCCUPATION
HOW LONG?
______________________________________________________________________________________________________________________________________________________
Source of your referral_____________________________________________________________________
WHICH DEGREE PROGRAM OR COMBINATION OF PROGRAMS
ARE YOU SEEKING?








BACHELOR OF ARTS
BACHELOR OF SCIENCE
BACHELOR OF BUSINESS ADMINISTRATION
MASTER OF ART
MASTER OF SCIENCE
MASTER OF BUSINESS ADMINISTRATION
DOCTOR OF PHILOSOPHY
DOCTOR OF BUSINESS ADMINISTRATION
MAJOR?_____________________
MAJOR?_____________________
MAJOR?_____________________
MAJOR?_____________________
MAJOR?_____________________
Unlike most countries, in the United States, there is no national procedure for licensing or accreditation of universities and
colleges. Accreditation is voluntary and is not recognized as being within the parameters of the functions of the U.S.
Department of Education. Because Honolulu University is a 100% distant learning school, regional accreditation is not
available. However, the U.S. Department of Education is currently addressing accreditation for the 100% distant education
schools. We have assured them that when available, H.U. will hopefully be among the first to apply for accreditation.
HONOLULU UNIVERSITY IS NOT ACCREDITED BY AN ACCREDITING AGENCY RECOGNIZED BY THE UNITED STATES
SECRETARY OF EDUCATION.
Note: In the United States, many licensing authorities require accredited degrees as the basis for eligibility for licensing. In some cases,
accredited colleges may not accept for transfer courses and degrees completed at unaccredited colleges, and some employers may require an
accredited degree as a basis for eligibility for employment.
NON-DISCRIMINATORY DECLARATION
Honolulu University admits students of any race, color, national or ethnic origin to all rights, privileges, programs and
activities generally accorded or made available to students. It does not discriminate on the basis of race, color, national
and ethnic origin in administration of its educational policies and any other school administered programs or
employment.
______________________________________________________________________________________________________________________________________________________________
PLEASE SEND THIS FORM WITH APPLICATION FEE TO:
HONOLULU UNIVERSITY
OFFICE OF ADMISSIONS
Honolulu University
1314 South King Street, Suite 625
Honolulu, Hawaii 96814
Phone: +1 808-955-7333
Fax: +1 888-665-1008
Website: http://honolulu-univeristy.edu