International Student-Teacher Identity Card Application Form Page 3
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1
2
3APPLICATION INSTRUCTIONS
1. Print in CAPITAL BLOCK LETTERS.
2. Print in INK.
3. Keep your printing INSIDE THE BOXES.
4. Complete the questionnaire on the reverse side.
_________________________________________________________________________________________________________
CARD APPLICATION REQUIREMENTS
Applications will not be considered complete if any of the four following items is not included.
1. PROOF OF STUDENT OR TEACHER STATUS
STUDENT
O
N
E
of the following items only:
O
N
E
• Photocopy of school ID (must be validated for current academic year)
• Letter on school stationery from registrar or dean (with school seal) stating that you are
enrolled during the current academic year at an accredited institution and working
toward a diploma or degree
• Photocopy of transcript or report card for a term of the current academic year
NOTE: An acceptance letter IS NOT sufficient proof.
TEACHER
O
N
E
of the following items:
O
N
E
• Photocopy of Faculty ID (must be validated for current academic year)
•
Letter on school stationery from department chair, school principal or other qualified
school official stating that you are a faculty member or faculty equivalent during the
current academic year
1-1/16 in.
2. ONE ID-SIZE PHOTO
×
Photo must conform to specific measurements. See example at right:
1-5/16 in.
In-person applications: Photos can be taken at the UHM Study Abroad Center
approximate
2 photos: $8.00
4 photos: $10.00
dimensions
3. PAYMENT OF $22.00
Cash or check payable to ISIC No credits cards accepted.
4. OFFICIAL PROOF OF BIRTHDATE
Photocopy of one of the following governmental documents:
Driver’s license, State ID or Data Page of Passport
____________________________________________________________________________________
In addition to discount privileges, ISIC cardholders traveling internationally receive insurance during the card’s
validity. Insurance coverage includes: Sickness Hospital Benefit, Accidental Medical Expense, Accidental Death
and Dismemberment, Emergency Evacuation, and Repatriation of Remains. Some age restrictions may apply on
certain student and youth discounts. See handbook for complete details.
_________________________________________________________________________________________________________
University of Hawai‘i at Mānoa
Return application with documents, photo and payment to:
Study Abroad Center
phone
808.956.5143, 956.6958
Moore Hall 115
fax
808.956.9319
1890 East-West Road
uhmsac@hawaii.edu
Honolulu, Hawai‘i 96822
Upon receipt of COMPLETE APPLICATION, card will be made available:
IN-PERSON PICK-UP
DELIVERY BY MAIL
Rush service available.
within 5 business days
up to 2 weeks
Add $5.00 to processing fee.
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