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1 Application Guideline: Please be sure to submit your contact information to the grant project recruiter before completing your application. It is important that we are able to remain in touch with you throughout the application process. These guidelines are for those interested in applying for the Ke Alaka'i Grant - PhD in Education: Exceptionalities Specialization at the University of Hawai'i for Spring Applications for this degree are due on October 1, This is a highly specialized offering with specific application instructions and is only available for the Spring 2017 start date. Please carefully review and follow the application instructions in this to ensure that your application can be considered for the grant. I encourage you to get your application submitted as early as possible to save yourself the stress of last minute deadlines. This will include information to help guide you through this process. Eligibility Requirements 1. Master s Degree in special education, disability studies, or a related field from an accredited institution. 2. Grade Point Average: 3.0 minimum (in the last four semesters of the undergraduate record and in all post-baccalaureate work). 3. Minimum of three years of practical experience in education and/or exceptionalities is preferred but not required. 4. Citizenship: U.S. or U.S. jurisdiction. 5. Official G.R.E. test results, current within 5 years. Send ALL Materials to the Doctoral Program (Exceptionalities) Doctoral Program (Exceptionalities) UHM College of Education 1776 University Avenue, Wist 113 Honolulu, HI Ke Alaka'I paper application (below) with $100 application fee. 2. Official transcripts of all post secondary institutions you have attended. Please be sure to include original transcripts for any credits you have obtained, including

2 those that were transferred between universities. UH System transcripts are not required. 3. Residency Declaration Form. 4. Statement of Objectives (professional and research). 5. Official GRE test results from within the past 5 years.we do not apply a specific cut-off score to the GRE s. Instead, the GRE score is used as one of several items of information in the applicant s file. 6. Formal Writing sample (published article, thesis, research proposal, etc.). 7. Three Letters of Recommendation. 8. Curriculum Vitae. Hints on Preparing Application Materials 1. The statement of objectives should begin by stating that you are applying to the Exceptionalities Specialization. It must include a narrative of career goals, academic objectives, and research interest(s). This narrative should be written in a clear, concise, and cogent manner. 2. Submit a research-oriented writing sample if possible. If you don t have a researchrelated writing sample, submit another form of professional writing. 3. Include one or two letters of recommendation that address your academic potential. We are interested in how ready your former or current professors feel you are for a PhD program and what they think about the quality of your writing. 4. Proofread your work. An oral interview may be requested by the Exceptionalities Specialization. Please contact me if you have any questions. I am happy to help at any stage of the process and I look forward to seeing your application. Special Education Recruitment Advisor Phone: (808) spedinfo@hawaii.edu

3 UNIVERSITY OF HAWAI I AT MĀNOA GRADUATE ADMISSIONS APPLICATION FORM Mail to: University of Hawai i at Mānoa Office of Graduate Education- Student Services 2540 Maile Way, Spalding 354 Honolulu, HI Tel: V/T: graduate.education@hawaii.edu Web: PLEASE TYPE OR PRINT CLEARLY. SEMESTER FALL 20 SPRING ETHNICITY (Check one) See instructions, page 5. Hispanic or Latino Not Hispanic or Latino RACE (Circle all that apply) See instructions for listing, page 5. AA AI CA CH FI GC HW IN JP KO LA MC OA OP SA TH TO VI GENDER FEMALE MALE BIRTHPLACE (State or Country) U.S. Social Security Number, if any. / / 2. FULL LEGAL NAME (Do not use nicknames. International applicants: Use name as listed on passport.) BIRTH DATE MM DD YY / / 3. OTHER NAMES (under which transcripts, records, or test scores may be issued): COUNTRY OF CITIZENSHIP (*See instructions for definitions, page 5.) US Citizen (If you have dual citizenship with the United States and another country, check US.) Non-US Citizen* Specify country: US National or CFAS Citizenship* U.S. Permanent Resident* (Attach a front and back copy of your green card.) CURRENT MAILING ADDRESS CITY/PROVINCE STATE/COUNTRY ZIP/POSTAL CODE VALID UNTIL (MM/DD/YY) CURRENT TELEPHONE PERMANENT MAILING ADDRESS CITY/PROVINCE STATE/COUNTRY ZIP/POSTAL CODE PERMANENT TELEPHONE OTHER TELEPHONE 5. ADDRESS FAX NUMBER 6. INTENDED GRADUATE PROGRAM AND DEGREE OBJECTIVE (Refer to above website for listing of programs and degrees.) PBU applicants: Leave section blank. Check box POST-BACCALAUREATE UNCLASSIFIED 8. CHANGE IN GRADUATE PROGRAM 9. READMISSION Have you applied for graduate or PBU admissions to UHM previously? No Yes (semester & year) Were any of your ancestors Hawaiian? (optional) No Yes 10. DUAL DEGREE PROGRAM 11. Person authorized by you to access info regarding your application status: NAME OF HIGH (SECONDARY) SCHOOL FROM WHICH YOU GRADUATED STATE or COUNTRY GRADUATION DATE (MM/YY) SUMMARY OF COLLEGE/UNIVERSITY ATTENDANCE. List bachelor s degree(s) first; advanced degree(s) second, if any; and all other institutions of college/university level, regardless of the length of attendance. International applicants: List actual name of degree received or expected. Use page 2 to list additional institutions. FULL NAME OF INSTITUTION Attended from City/State or City/Country (Do not use initials.) Attended to (MM/YY) MAJOR or PROGRAM OF STUDY NAME OF DEGREE or DIPLOMA EXPECTED/ RECEIVED FOR OFFICE USE ONLY APPLICATION FEE CC CH R N M F J S G C E H TUITION STATUS: by on UH ID: ADMISSIONS TYPE ST (Standard) CC (Concurrent) CH (Change) STUDENT TYPE M R C T GEOG L M I 1 of 3 SIGNATURE REQUIRED ON NEXT PAGE

4 Name of Applicant Date of Birth (MM//DD/YY) SUMMARY OF COLLEGE/UNIVERSITY ATTENDANCE: Continued from page 1. NAME OF INSTITUTION (Do not use initials.) City/S state or City/Country Attended from Attended to (MM/YY) MAJOR/ PROGRAM OF STUDY NAME OF DEGREE OR DIPLOMA EXPECTED/ RECEIVED How did you learn about the UHM graduate programs? Check all that apply. a. UHM Web site e. Recruitment Fair b. UHM Alumni f. Other Faculty recommendation c. UHM Faculty g. Reputation/Strength of Program d. UHM Brochure h. College/University Guide I. Newspaper/Advertisement j. Parent k. Friend l. Other 12. APPLICANT S CERTIFICATION I certify that the responses provided on the Graduate Admissions Application Form are complete and true to the best of my knowledge and belief. I understand that providing incomplete, incorrect, or false information may result in the rescission of admission and subject me to the requirements and/or disciplinary measures as provided under the University s Student Code. Furthermore, I understand that the UH System shares a common database and information pertaining to me may be accessed by all UH campuses. Signature Date RESIDENCY: Do you wish to claim residency in the State of Hawai i? Yes (Submit the Residency Declaration form.) No 2 of 3

5 Attach the completed payment form to the front of your admissions application. Graduate Admissions or Post-Baccalaureate Unclassified Application Fee Credit Card Payment Form Semester of Application (Please check one) Fall 20 Spring 20 Date of Birth / /XXXX MM DD YYYY Name of Applicant Credit Card Type: VISA MasterCard Diners Account Number / / / Expiration date / Provide the three (3) digit security code located on the back of your credit card at the end of the signature line: Name of Card Holder (As indicated on card) Billing Address Number and street Apt. Number City State Zip/Postal Code Application fee - US$ I agree to pay the appropriate graduate admissions application fee according to the card issuer agreement. I understand that the application fee is non-refundable and non-transferable. All tuition and fee charges at the University of Hawai i campuses are subject to change in accordance with requirements of State law and/or action by the Board of Regents or university administration. Card Holder Signature Date 3 of 3

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