(year)
Date: _______________________
Dear Honolulu Community College Admissions and Records Department;
I am requesting to roll my application information over ______
_______ ______ to
_____________ ______.
(year)
Thank you,
______________________________
UH Student ID Number
_______________________________
Printed Name
____________________________________
Major & Degree Type (for graduating seniors)
______________________________
Signature
Dual Credit
Application Roll Over Request Form
Last Revised: 9/24/2020 (PW)
Please Note: Students are eligible for a roll over request for over a span of two years, from 2016 only, moving forward. HonCC
must have been the students last home campus. We look at both the students last year of acceptance and/or the students last
year of registraon. If a students record is inacvated in the system for any reason, the student will need to resubmit another
online applicaon. The fall term deadline is August 1, and spring term is December 15. Please ask about summer term deadlines.
THERE ARE NO ROLL BACKS.
(semester)
(semester)
Clear Form
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_
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