Admission Documents – Hilo

HILO CAMPUS ONLY

Serving Hawai’i Island, Maui County, Kauai, and select schools on Oahu

  1. Application (Completed/Signed by applicant and all custodial parents/guardians are sent back to YCA)
    • Birth Certificate – copy
    • Medical Insurance Card – copy
    • Social Security Card – copy
    • Government issued ID – copy (School IDs are not accepted)
  3. Enrollment Agreement (Completed/Signed by applicant and all custodial parents/guardians are sent back to YCA)
  4. Parent Questionnaire, Custody, 911 Contact, Uniform Sizes (Completed/Signed by all custodial parents/guardians are sent back to YCA)
  5. Waivers (Completed/Signed by all custodial parents/guardians are sent back to YCA)
  6. Family Tree Project (Completed/Signed by applicant and all custodial parents/guardians are sent back to YCA)
  7. Medical Aid Station, Consent to administer Rx (Completed/Signed all custodial parents/guardians are sent back to YCA)
  8. Medical Provider forms (Please fill out parent/guardian sections ONLY, then bring to medical appointments. Completed/Signed forms are sent back to YCA)
  9. Juvenile Criminal Report (This is REQUIRED for all applicants regardless of personal history. Requests are processed at your Family Court, results are sent back to YCA)
  10. Transcript Requests (Complete and submit to current/previous school attended)
  11. 4140 or Credit Recovery forms (This requirement will be based on your students age at enrollment, please see admission for more details.)
  12. Packing List (The items included on this list are the only costs for our program and subject to change, please note if it is NOT on the list…it is NOT allowed.)
  13. Mentor Application (Mentors can expect to fill out the application, obtain two referrals, participate in a phone interview with our Post Residential Team, submit fingerprints, and complete training. For Mentor application questions please call (808) 369-0955 or (808) 896-8228.)

Full Application – please print double sided when possible

Completed documents can be sent to:

Email: [email protected]
Mail: PO Box 5210 Hilo, Hawaii  96720
Fax: 808-933-1403

Submit Documents -Hilo

Student Name(Required)
Parent Name
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