Mālama 'Āina Field School Summer 2019 Application
This application is for students interested in participating in the Mālama 'Āina Field School to be held June 17 - July 19, 2019. This program is for students currently in the 8th or 9th grades attending schools in Nānākuli and Wai'anae.

The Field School will blend students from Nānākuli and Wai'anae communities in an action-packed summer full of learning, service, and fun focusing on caring for the 'āina that takes care of us!

Please answer all questions as best you can. Toward the end of this application, you will see questions that your parent or guardian must also complete.

You are also required to get at least one adult reference. Please see your school counselor to get the reference form that must be completed by a teacher, grade level counselor, or vice principal. Both this application and reference forms are due by April 26, 2019.

Mahalo nui loa for showing your interest in the Mālama Āina Field School!

Aloha, Mālama Learning Center and Field School teaching staff

Email address *
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Home Address (Street, City, Zip Code) *
Your answer
Phone Number (best number to reach you) *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Gender
Are you Native Hawaiian?
Name of the school that you attend currently *
If you selected "another school," please type its name below.
Your answer
Current Grade *
Which class would you like to attend? *
Are you interested in receiving an elective credit? If so, check the box that applies to you.
T-Shirt Size (Adult Sizes) *
Tell us a little bit about yourself. What kinds of things do you really enjoy learning about and doing? Please explain your reasons. *
Your answer
If you could improve one thing about your community, what would it be? Please explain. *
Your answer
Why do you want to participate in this program? What do you hope to get out of it? *
Your answer
On a scale of 1 to 10, how interested are you in attending the Mālama 'Āina Field School? *
I am not interested at all. I feel forced to attend.
I am really interested in getting the most out of this program.
This program will require various forms of physical participation (sun exposure, dust, pollen, hiking, sweating, getting dirty, etc.). Do you have any health, dietary, or other conditions that we should know about? *
If you answered "Yes" to the question above, please explain.
Your answer
Are you confident in your swimming ability? *
This program will require teamwork and cooperation. Please share how well you have worked in teams before and any concerns you may have about this. *
Your answer
Do you have any plans that would interfere with your full participation in the program, which will be conducted from June 17 – July 19, 2019 from 8 am - 2:30 pm? There will be occasional evening and weekend events. *
If you answered "Yes" or "Maybe" to the previous question, please explain.
Your answer
Applicant Agreement: I am applying to be a participant of the Mālama ʻĀina Field School. I answered the questions to the best of my ability and, if accepted, will try my best in the program. (Please type full name below.) *
Your answer
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