Ka ʻUmeke- Intent to Enroll Form

Ka ʻUmeke Kāʻeo Public Charter School Intent to Enroll

SY 2026–2027
Mission Statement: I ulu i ke kuamoʻo, I mana i ka ʻōiwi, I kāʻeo no ka hanauna hou. (Inspired by our past, Empowered by our identity, Prepared for our future)
Haumāna Information
Full Legal Name of Haumāna*
As it appears on the official birth record
Inoa Hawaiʻi to be used (if applicable)*
n/a if not applicable
Date of Birth*

MonthDayYear
Date
Current Grade Level 2025-2026*
Grade Applying For 2026-2027
Current Kula Kaiapuni Attending if applicable*
n/a if not applicable
ʻOhana Information
Parent/Guardian Names*
First & Last Name
Relationship to Haumana*
Primary Phone Number*
Secondary Phone Number*
Email Address*
example@example.com
Is mailing address same a physical address*

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does the haumāna have siblings currently enrolled at Ka 'Umeke Kāʻeo?*

YesNo
Name(s) of Currently Enrolled Siblings*
Grade(s) of Currently Enrolled Siblings

Pre-KKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12
Preferred Language of Communication*

ʻŌlelo HawaiʻiEnglishBoth
Has your keiki previously attended a Hawaiian Language Immersion preschool or PreK program?*

YesNo
If yes, please list name of school
Enrollment Questions
1)

Sibling of a current Ka ʻUmeke haumāna or Ka ʻUmeke graduate
Name of sibling (if current or former Ka ʻUmeke student/graduate)
Full Name of Sibling
2)

Child or grandchild of a current staff member or Ka ʻUmeke graduate
Name of makua/kupuna (if current or former Ka ʻUmeke staff or graduate)
Full Name of Makua/Kupuna
3)

Child of a current or former Ka ʻUmeke board member (served minimum one calendar year)
Name of makua (if current or former Ka ʻUmeke board member)
Full Name of Makua
4)

Attended a Hawaiian Language preschool or PreK program
Name of Hawaiian Language Preschool or PreK program
5)

Resides in an East Hawaiʻi Homestead Community (Keaukaha, Pana‘ewa, Makuʻu,Piʻihonua, Kaʻumana)
Community you reside in
Keaukaha, Pana‘ewa, Makuʻu, Piʻihonua, Kaʻumana
Statement of Intent
I/We, the undersigned, understand that this Intent to Enroll Form is for planning and priority consideration purposes. Submitting this form does not guarantee admission. Final placement is determined by completion of all required enrollment documents and verification of information. If applications exceed available spaces, a waitlist will be established using the priority point system.
Date*

MonthDayYear
Date
Parent/Guardian Signature*

Clear
Should be Empty:

Ka ʻUmeke Kāʻeo Public Charter School Intent to Enroll

Haumāna Information

ʻOhana Information

Enrollment Questions

Statement of Intent