{"id":67,"date":"2013-06-25T09:09:56","date_gmt":"2013-06-25T19:09:56","guid":{"rendered":"http:\/\/dod.hawaii.gov\/yca\/?page_id=67"},"modified":"2026-08-27T17:22:04","modified_gmt":"2026-08-28T03:22:04","slug":"admission-documents","status":"publish","type":"page","link":"https:\/\/dod.hawaii.gov\/yca\/apply\/admission-documents\/","title":{"rendered":"Admission Documents"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Application &amp; Admissions Forms<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2022\/01\/Transcript-Request-Form.pdf\" target=\"_blank\" rel=\"noopener\">Transcript Request Form<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2026\/02\/4140-1.pdf\">HI DOE 4140 (PDF fillable)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2024\/08\/Applications-with-New-Logo-pdf-fillable.pdf\">Mentor Application (PDF fillable)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2026\/05\/NEW-Search-and-Seizure-Form.pdf\">Searches and Seizure Form<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2020\/05\/Juvenile-Record-Request.pdf\" target=\"_blank\" rel=\"noopener\">Juvenile Record Request<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2026\/08\/Juvenile-Probation-Verification-Form.pdf\">Juvenile Probation Verification Form<\/a><\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Medical Forms<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2020\/04\/Medical-Checklist.pdf\" target=\"_blank\" rel=\"noopener\">Medical Checklist<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2022\/06\/Medical-Aidfillable.pdf\">Medical Aid (PDF fillable)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2022\/06\/Medical-Emergency-Formfillable.pdf\">Medical-Emergency Information (PDF fillable)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2025\/10\/Medical-Form-Part-I-and-II.pdf\">Medical Form<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2022\/06\/Sports-Physical-Examination-Hawaii-DOE-Form.pdf\">Sports Physical Examination &#8211; Hawaii DOE Form<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2022\/06\/Immunization-Record.pdf\">Immunization Record<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2025\/10\/Dental-Form.pdf\" target=\"_blank\" rel=\"noopener\">Dental Clearance<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2026\/05\/Head-Lice-Clearance-Form.pdf\">Head Lice Clearance Form<\/a><\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Medication and Allergy Forms<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2022\/06\/EmergencyRescueMeds.pdf\">Medication Form (PDF fillable) &#8211; Hawaii DOE Form<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/dod.hawaii.gov\/yca\/files\/2022\/06\/copy_of_medstatement_june2019-FILLABLE-1.pdf\">Food Allergy Form (PDF fillable)<\/a><\/strong><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Completed documents can be sent to:<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Email: admissions.yca.oahu@hawaii.gov<\/li>\n\n\n\n<li>FAX: 808-673-7538<\/li>\n\n\n\n<li>Mail: PO Box 75348 Kapolei, HI&nbsp; 96707<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/dod.hawaii.gov\/yca\/apply\/submit-forms\/\">Submit Documents<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Application &amp; Admissions Forms Medical Forms Medication and Allergy Forms Completed documents can be sent to:<\/p>\n","protected":false},"author":3,"featured_media":2347,"parent":54,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"3637,685,2614,1030,3546,1838","_relevanssi_noindex_reason":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-67","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/67","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/comments?post=67"}],"version-history":[{"count":19,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/67\/revisions"}],"predecessor-version":[{"id":5190,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/67\/revisions\/5190"}],"up":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/pages\/54"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/media\/2347"}],"wp:attachment":[{"href":"https:\/\/dod.hawaii.gov\/yca\/wp-json\/wp\/v2\/media?parent=67"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}