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Information Request Form

Complete this form to request undergraduate admissions information about UH Mānoa.

Items marked with an asterisk (*) are required.

Email Address:
*First Name:
Middle Name:
*Last Name:
Female Male
*Mailing Address:
Postal/Zip Code:
Country (if not U.S.A.):
*Birthdate (mm/dd/yyyy):
U.S. Citizen:
Yes No
Current High School:
High School City:
High School State:
Expected year of high school graduation (if applicable):
Current college (if applicable):
Parent's E-mail Address:
Intended Undergraduate Major:
*Term of possible attendance:
*How did you hear about UH Mānoa?:

Please email specific admissions questions to