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STUDENT APPLICANTS FORM
Applicant's Legal Name
Last Name
First Name
Middle Name
Usually Called: 'Nickname/Preferred Name'
Grade Applying For:
After School Care

(For Pre-K to 6th grade applicants only) Will your child require:

Before School Care from 6:30am
After School Care till 5:30pm
School Year
Gender:
Male Female
Birthdate:  
Birthplace:
Please use preferred name and address for all correspondence regarding this application.
Name :
Street Address:
City :
State :
Phone : Zip :
Email Address:
Has the applicant ever applied to Ho`ala?:
Yes No
Year? Grade
Please list all schools attended from preschool through present. Start with current school.
Years Attended Grades Name of School City, State, Zip
To
To
To
To
To
Has the applicant repeated or skipped a grade?
Yes No
Grade?
Explain :
Please identify applicant's natural and/or legal parents:
Father's Name:   Home Phone:
Occupation:   Business Phone:
Mother's Name:   Home Phone:
Occupation :   Business Phone:
Applicant lives with: Both Parents Father Mother Parent & StepParent Guardian(s)
Marital status of natural parents: Married Divorced Separated
Is the applicant legally adopted?
Yes No
Hawai`i residency: Permanent New Temporary
If new/temporary, approximate date of arrival: Length of stay:
Please list the applicant's principle activities, hobbies, and talents (including awards) in academics, art, athletics, dance, drama, music, speech, student government, etc.:
Please list the applicant's brother and sisters:
Name Age Grade School or College
Please list parents, siblings, or other close relatives who have previously attended Ho`ala School:
Name Relationship Dates of Attendance
Please list any significant details that would be considered important to the applicant's school life (e.g. extensive travel, physical handicaps, health problems, learning disabilities.)
Why have you chosen Ho`ala School for your child?
Please provide the following information even though the applicant's natural parents may be separated, divorced, or deceased, or the child may be living with a legal guardian:
 FATHER
Living?
Yes No
Length of residence in Hawaii
Permanent Temporary
Employer (firm or organization): 
Business Address: Email :
High School: Year Graduated:
College: Degree: Year Graduated:
Community Organizations:  
 MOTHER
Living?
Yes No
Length of residence in Hawaii
Permanent Temporary
Employer (firm or organization): 
Business Address: Email :
High School: Year Graduated:
College: Degree: Year Graduated:
Community Organizations:  
 GUARDIAN OR STEP-PARENT
Living?
Yes No
Length of residence in Hawaii
Permanent Temporary
Employer (firm or organization): 
Business Address: Email :
High School: Year Graduated:
College: Degree: Year Graduated:
Community Organizations:  
 
I agree to the terms and conditions
Ho`ala School does not discriminate on the basis of race, color, or creed.