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

 

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

 

 

MANDATORY ADMISSIONS DOCUMENTS *Submit Originals

DEMOGRAPHICS
*Application – Completed and Signed

AGE DOCUMENTATION
Identification: Government Issued: State ID, Military ID.
Birth Certificate

LEGAL RESIDENCE DOCUMENTATION
Social Security Card
U.S. Passport
Foreign Passport, Submit Permanent Resident / I-94

ACADEMIC DOCUMENTATION
High School Transcript – Transcript Request Form

If Dropped Out or Home School: Submit – HI DOE Form 4140

LEGAL DOCUMENTATION
Juvenile Criminal Record from Hawaii State Family Court (Not their TRAFFIC Abstract)
*All 18 Year Old: Adult Criminal Background

MEDICAL DOCUMENTATION
Medical Physical Examination / Medical Insurance Card
Dental Form / Dental Insurance Card
DOE Physical Form
Immunization Record

 

MANDATORY PACKING LIST

MANDATORY-PACKING-LIST

 

Completed applications can be sent to:

Oahu = [email protected]

Hilo = [email protected]