Kilo Kai Marine Science
Spring 2024 Program Application
Student/Participant Information:
Note: if your student is a returning participant, please be careful to use the same spelling as prior applications)
Legal First Name:
Legal Last Name:
Nickname (preferred name):
Email (personal email - NOT your school issued email address)
Please do not use your K-12 school address
Student SMS Text phone number:
The best number to use for urgent messages
Date of Birth:
What school do you attend?
Hakipuʻu Academy
Hawaiʻi Tech Academy
ʻIolani
JB Castle HS
Kahuku HS
Kailua HS
Kalāheo HS
Kamaile Academh
Kamehameha
Kekula O Samual Kamakau
Mid-Pacific Insitute
Mililani HS
Olomana
Pūʻōhala
Punahou
Waianae HS
Other
Name of Teacher or Advisor:
School Student Attends Other:
Grade Level:
9
10
11
12
Are you interested in a Science Career?
Yes
No
Not sure
Do you have an IEP or accommodations we should be aware of?
Yes
No
I identify myself as this/these ethnicity:
Please describe how you identify yourself, such as: Hispanic or Latino/a; Arab or Arab American; Native American or Aleut; Caucasian (non-Hispanic); Black or African American; Asian or Asian American; Pacific Islander; Native Hawaiian. or other description.
I identify my gender as:
Parent or Legal Guardian Information.
Students 18 years and older, please complete with Emergency Contact Person's information.
Parent/Guardian Last Name
Parent/Guardian First Name
Parent Relationship to Student
Email
Mobile Phone
Your Personal Statement
Why are you interested in Kilo Kai, what marine science interests do you have, what to you hope to gain, and what do you have to offer?
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Contact Information