BYU-Hawaii Online Program Application

Fill in the information and then click on SUBMIT below, and then wait for an email with further instructions (may take up to one week in busy periods). Before submitting your application please verify that your email address is correct.

GENERAL INFORMATION

EMAIL: *

EMAIL CONFIRMATION: *

BYUH - ID (IF YOU HAVE ONE):

FIRST NAME: *

LAST NAME: *

MAIDEN NAME:

GENDER: *

DATE OF BIRTH: *

MARITAL STATUS: *

ENGLISH IS MY FIRST LANGUAGE: *

CITIZENSHIP COUNTRY: *

WHICH BEST DESCRIBES YOUR SITUATION: *

IF YOU HAVE BEEN ACCEPTED TO COME TO BYU HAWAII, WHICH SEMESTER WILL YOU COME?: *

CONTACT INFORMATION

PHONE: *

CELL PHONE: *

PERSONAL DESCRIPTION: *

MAILING COUNTRY: *

ADDRESS - STREET AND HOUSE NUMBER: *

CITY OR TOWN: *

STATE OR DISTRICT: *

ZIP/POSTAL CODE: *

RELIGIOUS INFORMATION

If Non-LDS please write N/A on every field.

RELIGIOUS AFFILIATION: *

UNIT NAME: *

STAKE/DISTRICT NAME: *

BISHOP/BRANCH PRESIDENT'S NAME: *

BISHOP/BRANCH PRESIDENT'S PHONE NUMBER: *

BISHOP/BRANCH PRESIDENT'S EMAIL: *

I AGREE TO ABIDE BY THE HONOR CODE: *

Yes

BYU-Hawaii Online Program Application

Contact Information

REGISTER FOR CLASSES

APRIL- AUGUST 2013 TERM