First Name *Middle Name (if any)Last Name *Email Address *Phone Number *Fax numberDate Of Birth (mm/dd/yyyy) *Country of Citizenship *Country of Birth *Gender *MaleFemaleWhich month do you wish to begin studies?*JanuaryMarchJuneAugustOctoberWhich year do you wish to begin studies?*20212022Permanent Mailing Address*Street *City *Country *Postal Code *Upload a copy of your government ID*I will email it to hawcciep@hawaii.edu later. (Please note that your application process is not completed until we receive your documents).Have you taken any of test below?TOEFLTOEICIELTSEIKENOtherNoneIf you have, please let us know which test and your score.Please let us know your English level*Pre-intermediateIntermediateHigh-intermediateAdvancedOptional Services (Housing support - $50 one time non-refundable fee)YesNoIf yes, please choose from the following.1 Bedroom (not shared)2 Bedrooms (shared unit, 1 bedroom each)If yes, how much can you afford to pay for rent each month.$500-$650$650-$800$800-$890How did you find the Intensive English Program (IEP)?Agent (Please write the agent name in the text box below)By a friend (Please write your friend's name in the text box below)IEP websiteHawaii Community College websiteMo-hawaii.com websiteSearch engine (Google, Yahoo, Bing etc)The IEP brochureOther (Please write in the text box below) For fee payments, we will contact you via email. Please note that your application process is not completed until we receive your payments.Comment/Note