Ho`olohe Pono 2017 Application

Ho`olohe Pono 2017

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

O`ahu: July 9-14, 2017
Moloka`i: July 15-22, 2017

Please mail completed application with application fee by May 31, 2017 to:
InterVarsity Hawai`i
41-666 Ka`aumana Place
Waimānalo, HI 96795

Any questions, please contact Moani Sitch @ 342-7896 or 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's information

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    Guardian's information (if applicant is under 18)

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    For current students

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    For non-students

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