Ho`olohe Pono 2018 Application
Ho`olohe Pono 2018

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

O`ahu: July 8-13, 2018
Moloka`i: July 14-21, 2018

Please mail completed application with application fee by May 31, 2018 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 informations
First and last name *
Your answer
Sex *
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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