Admission Documents


Application & Admissions Forms

  1. Application (PDF fillable)
  2. Admissions Packet (PDF fillable)
  3. Transcript Request Form
  4. HI DOE 4140 (PDF fillable)
  5. Juvenile Record Request
  6. Mentor Application (PDF fillable)
  7. Family Tree Project Online Form

Medical Forms

  1. Medical Checklist
  2. Medical Aid (PDF fillable)
  3. Medical-Emergency Information (PDF fillable)
  4. Medical Form Part 1
  5. Sports Physical Examination – Hawaii DOE Form
  6. Immunization Record
  7. Dental Clearance
  8. S&G Acknowledgment Form
  9. S&G Authorization Form

Medication & Allergy Forms

Additional Information to review about COVID-19 



Completed documents can be sent to:



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

  1. Application
  2. Juvenile Criminal Report
  3. Medical Provider forms
  4. Transcript Requests
  5. Enrollment Agreement
  6. Parent Questionnaire, Custody, 911 Contact form
  7. Medical Aid Station, Consent to administer Rx
  8. Form 4140
  9. Family Tree Project
  10. Mentor Application
  11. Waivers
  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.)

Completed documents can be sent to:

Email: [email protected]
Mail: PO Box 5210 Hilo, Hawaii  96720
Fax: 808-933-1403
Online Submission: Attach documents here

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