Youth Challenge Academy

DOWNLOAD APPLICATION & ADMISSIONS DOCUMENTS:

Documents Needed Checklist Updated April 2020

Application

Enrollment Packet (4 Pages)

Parent Interview Questionnaire 

Transcript Request Form

Juvenile Record Request

YCA BROCHURE

^{HI DOE Form 4140 – Request to be made at Applicant’s current or last attended High School.
Applicants who are 18 years old will not need to submit a HI DOE 4140.}

DOWNLOAD MEDICAL DOCUMENTS:

Medical Checklist

Medical Aid Station (5 Pages)

Medical Emergency Form

Medical Form Part 1

Sports Physical Examination – Hawaii DOE Form

Immunization Record

Dental Clearance

^{STATE OF HAWAII – Medication & Allergy Forms}

State Eating Form Part A

State Eating Form Part B

^{STATE FORM – Food Allergy}

Medication and Allergy Form

 

CLASS 53 KALAELOA COVID TESTING FORMS

HINGYCA Agreement and Understanding for COVID-19

S&G Acknowledgment Form

S&G Authorization Form

Additional Information to review about COVID-19 

What-To-Do-If-You-Have-Been-Tested-For-COVID19

What-To-Do-If-You-Test-Positive-For-COVID19

 

MANDATORY PACKING LIST

Will be distributed during Endurance #2

Completed applications can be sent to:

Oahu = Email:  [email protected]

FAX:  808-673-7538

MAILED: PO Box 75348 Kapolei, HI  96707

Hilo = [email protected]