Ho`olohe Pono 2019 Application
Ho`olohe Pono 2019

Sponsored by:
InterVarsity Christian Fellowship - Hawai`i
Ka `Ohana o Ke Aloha

O`ahu: July 14-19, 2019
Moloka`i: July 20-27, 2019

Please mail completed application and/or application fee by May 31, 2019 to:
InterVarsity Hawai`i
41-666 Ka`aumana Place
Waimānalo, HI 96795

Any questions, please contact Brenda Wong at: (808) 478-6933 or
brenda.wong@intervarsity.org.

APPLICATION CHECKLIST
Check for the following:
- Down Payment Check: $50 Made out to “Ka `Ohana o Ke Aloha”
• The $50 payment will be reimbursed if the applicant is not chosen.
• If the applicant withdraws, a refund of $25 will be granted.
- Application
- Questionnaire
- Optional Info Request form
- Signed and dated Assumption of Risk and Liability form
- Guardian signature of Assumption of Risk and Liability form (if applicant is under 18
years old)
- Letter of Reference (can be sent by email; not required for InterVarsity Hawai`i students)

*Assumption of Risk & Release form, $50 application fee, and Reference Form need to be sent in by mail.
Applicant information
First and last name *
Your answer
Gender *
Birthdate
MM
/
DD
/
YYYY
Address *
Your answer
City, State, Zip code *
Your answer
Phone number *
Your answer
Email address *
Your answer
Which week(s) of Ho`olohe Pono are you interested in participating? *
Check one or both
Required
Guardian's information (if applicant is under 18)
Guardian's name
Your answer
Guardian's address
Your answer
Guardian's City, State, Zip code
Your answer
Guardian's Phone number
Your answer
Guardian's Email address
Your answer
For current students
School
Your answer
Class standing/Grade
Your answer
Anticipated graduation date
Your answer
Major
Your answer
For non-students
Current occupation
Your answer
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