To Apply for Running Start You Must:
  1. Complete the application
  2. Click the submit button
  3. Print and obtain the necessary signatures
  4. Take the completed application to your high school counselor

Hawaii State Department of Education / Unversity of Hawai`i System
Spring 2014 Semester Running Start Application Form
Date:  April 18, 2014  
Student's Name:                 
  Last  First  Middle     
Mailing Address:      City:      Zipcode:    
Home Phone:      Cell Phone:      Email:    
High School:      Class:    Jr.    Sr.   Expected Year of Graduation:  
Student is a (check one):    U.S. Citizen    Resident Alien              Foreign Student
(copy of card required)  (additional forms required, see your high school counselor) 
Qualifies for:    None    Free Lunch Program *    Reduced Price Lunch Program *

* If you qualify for the Free or Reduced lunch program, please obtain your High School Counselor's signature after you submit and print your application form. You must qualify for the Free or Reduced Lunch program AND be a U.S. citizen or resident alien (i.e. permanent resident) to apply for a GEAR UP Scholarship for Running Start.
UH Campus you plan to attend:  
Session:  Spring 2014 Semester
College Course (e.g: ENG 100) # of College Credits High School Requirement or Elective
 Req.    Elect.
 Req.    Elect.
 Req.    Elect.
Alternate Course (If your primary course selection in not available, please specify an alternative course)
 Req.    Elect.
Previous college enrollment?    Yes    No
PREVIOUS University of Hawai`i System COURSES COMPLETED
Semester & Year CAMPUS COURSE FINAL GRADE EARLY ADMISSION OR RUNNING START?
 Early Admission    Running Start
 Early Admission    Running Start
 Early Admission    Running Start
 Early Admission    Running Start
 Early Admission    Running Start
  1. The University of Hawaii and the high school reserves the right to determine admission to the university/college and/or registration in certain classes.
  2. The high school is the final authority on high school graduation requirements. Students must work closely with a high school counselor to ensure that graduation requirements are met. It is understood that it is the student's responsibility to ensure that the college course(s) completed as part of the Running Start program will also meet high school graduation requirements.
  3. The parent/guardian and student understand that if the student does not successfully complete the Running Start courses, the student may not meet high school graduation requirements.
  4. The student and/or parent/guardian is responsible for tuition and campus fees, books and consumable supplies, laboratory fees, transportation, and any other related educational expenses.
  5. The parent/guardian and the student understand that the student is expected to participate fully in all course activities, including labs, which may involve being exposed to alternative viewpoints that may include material of an adult nature.
  6. The parent/guardian and student understand that the Hawaii State Department of Education is not liable for the student's health and safety when the student has left the high school campus.
  7. The parent/guardian and student understand that Running Start students have the same rights and responsibilities as any other UH college student.
  8. The student gives permission for the University Of Hawaii campus to release registration information, grades and/or placement test scores to his/her high school administrator(s).
  9. As the parent/guardian, I give permission to the Hawaii State Department of Education to verify the Free or Reduced lunch status of my child to the University of Hawaii for the purpose of determining scholarship eligibility.
My signature on this form constitutes acceptance and approval of the statements listed above.
________________________________________  _______________
Student SignatureDate
________________________________________  _______________
Parent SignatureDate
This student is enrolled at a Hawai`i public school, is under the age of 21 as of September 1st of the school year that the college course(s) will be taken, and will comply with the DOE and community college's requirements.
________________________________________  _______________
High School Counselor SignatureDate
________________________________________  _______________
Principal SignatureDate




To Apply for Running Start You Must:
  1. Complete the application
  2. Click the submit button
  3. Print and obtain the necessary signatures
  4. Take the completed application to your high school counselor

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