Application for Admission

We're honored that you're considering Ohana Institute for your family. This application is designed to help us get to know your child as a learner and as an individual. Please complete each section as thoroughly as possible. There are no "right" answers — we simply want to learn more about your family. Before you begin, please have available: Birth Certificate, Immunization Records, Most Recent Report Card, School Records (if applicable), and IEP/504 Documentation (if applicable). Estimated completion time: 20–30 minutes.

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Student Information - Step 1 of 9

Student's Legal First Name *

Student's Middle Name

Student's Legal Last Name *

Preferred Name (if different)

Applying for School Year *

Grade Applying For *

Date of Birth *

Student's Home Address *

City *

State *

Zip Code *

Current School *

Current Grade *

Has your child previously attended Ohana Institute? *

Has your child ever repeated a grade? *

Which grade was repeated, and is there anything you'd like us to know?

Has your child ever been homeschooled? *

Which grades were homeschooled?

Has your child ever been suspended or expelled? *

Please explain the suspension or expulsion.

Parent/Guardian A — Full Name *

First

Last

Please provide information for the primary parent or guardian.

Parent/Guardian A — Relationship to Student *

Parent/Guardian A — Email Address *

Parent/Guardian A — Mobile Phone *

Parent/Guardian A — Employer *

Parent/Guardian A — Occupation *

Parent/Guardian A — Lives with Student? *

Parent/Guardian A — Has Educational Decision-Making Authority? *

Parent/Guardian A — Primary Contact for School Communications? *

Would you like to add a second parent or guardian? *

Parent/Guardian B — Full Name

First

Last

Parent/Guardian B — Relationship to Student

Parent/Guardian B — Email Address

Parent/Guardian B — Mobile Phone

Parent/Guardian B — Employer

Parent/Guardian B — Occupation

Parent/Guardian B — Lives with Student?

Parent/Guardian B — Has Educational Decision-Making Authority?

Parent/Guardian B — Primary Contact for School Communications?

Emergency Contact Name *

First

Last

If we are unable to reach a parent or guardian, who should we contact?

Emergency Contact — Relationship to Student *

Emergency Contact — Mobile Phone *

Emergency Contact — Authorized to Pick Up Student? *

Anything else you'd like us to know about your family?

If we met your child for the first time, what would you hope we'd notice about them? *

What are your child's greatest strengths, talents, or passions? *

What challenges does your child experience, and what strategies have been most successful? *

What makes your child happiest? *

What are your child's favorite activities outside of school? *

Sports
Music
Art
Reading
STEAM
Outdoor Activities
Travel
Community Service
Other

How does your child learn best? *

Hands-on
Visual
Auditory
Small Group
Independent
Project-Based
Teacher-Guided
Other

Has your child experienced any significant life events or transitions that you would like us to be aware of as we get to know and support them?

Is there anything else you'd like us to know about your child?

What are three words that best describe you? *

Student Voice: now it's your child's turn! We'd love to hear directly from them. There are no right or wrong answers.

What is something you're really proud of? *

What do you enjoy doing when you're not in school? *

Sports
Reading
Building or Creating
Video Games
Music
Art
Dance
Animals
Science
Technology
Being Outdoors
Spending Time with Friends
Traveling
Other

What makes learning exciting or fun for you? *

If you could create a brand-new class at Ohana, what would you teach?

Who is someone you admire, and why?

What is something you hope to learn or accomplish this year? *

Is there anything else you'd like your teachers to know about you?

Current Teacher

Has your child ever received academic support? *

Please describe the academic support your child has received.

Does your child currently have any of the following? *

IEP
504 Plan
Gifted Education Plan
English Language Support
None

Has your child ever been evaluated for learning differences? *

Please describe the evaluation(s).

What are you hoping will be different or better for your child at Ohana Institute than in their current educational experience? *

Primary Physician *

Physician Phone Number *

Dentist *

Dentist Phone Number *

Does your child have any allergies? *

Please list all allergies and describe any reactions.

Does your child take any medications on a regular basis? *

Please list the medication(s) and the reason for taking them.

Does your child have any medical conditions we should be aware of?

Examples could include asthma, diabetes, seizures, hearing or vision concerns, or other health conditions that may affect the school day.

Does your child have any dietary restrictions?

In the event of an emergency, I authorize Ohana Institute to seek emergency medical treatment if I cannot be reached. *

Health Insurance Provider

Upload Birth Certificate

Drag & Drop Files, Choose Files to Upload

Upload Immunization Records *