• HELP for Childcare: Pre-Application

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    We are near capacity and unable to assist new keiki who do not fall under Priority Population.

    WHAT DOES THIS MEAN?

    At this time, we have reached our enrollment capacity and are unable to accept new keiki into the program.

    You may still submit a pre-application to be placed on our waitlist. As funding and program capacity become available, we will review applications and contact families in accordance with our program’s priority population requirements. This includes:

    ʻOhana with special needs such as:

    1. keiki with medically-documented special needs
    2. keiki in long-term foster care who are U.S. citizens or legal permanent residents
    3. keiki in care of adults in protective services
    4. ʻohana/keiki transitioning from homelessness
    5. keiki of incarcerated parents
    6. keiki of minor teenaged birth parents
    7. keiki affected by natural disaster or loss of home in Hawaii

    These priority populations will be considered first. If additional funding and space become available after serving our priority population, we may open enrollment to the general public. Opening enrollment to the general public is not guaranteed and will depend on available funding and program capacity.

    Submitting a pre-application does not guarantee enrollment or assistance.

    Please check back here for updates regarding enrollment availability.

    Please feel free to contact us at helpapp@koka.org if you have any questions. Mahalo nui for your understanding!

  • Child #1

  • Child #1 Date of Birth:*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Families with Special Needs include:

    • child with medically-documented special needs
    • children in long-term foster care who are U.S. citizens or legal permanent residents
    • children in care of adults in protective services
    • transitioning from homelessness
    • children of incarcerated parents
    • child of minor teenaged birth parents
    • child affected by natural disaster or loss of home in Hawaii
  • Do any of the situations listed above apply to Child #1?*
  • Does Child #1 possess Native Hawaiian, American Indian, or Alaska Native ancestry?*

  • Child #2

  • Child #2 Date of Birth:
     - -
    2 digit month, 2 digit day, 4 digit year

  • Families with Special Needs include:

    • child with medically-documented special needs
    • children in long-term foster care who are U.S. citizens or legal permanent residents
    • children in care of adults in protective services
    • transitioning from homelessness
    • children of incarcerated parents
    • child of minor teenaged birth parents
    • child affected by natural disaster or loss of home in Hawaii
  • Do any of the situations listed above apply to Child #2?
  • Does Child #2 possess Native Hawaiian, American Indian, or Alaska Native ancestry?

  • Child #3

  • Child #3 Date of Birth:
     - -
    2 digit month, 2 digit day, 4 digit year

  • Families with Special Needs include:

    • child with medically-documented special needs
    • children in long-term foster care who are U.S. citizens or legal permanent residents
    • children in care of adults in protective services
    • transitioning from homelessness
    • children of incarcerated parents
    • child of minor teenaged birth parents
    • child affected by natural disaster or loss of home in Hawaii
  • Do any of the situations listed above apply to Child #3?
  • Does Child #3 possess Native Hawaiian, American Indian, or Alaska Native ancestry?

  • Applicant (& Co-Applicant) Activity Status

    Employment, Schooling, or Job Training
  • Applicant Activity Status:*
  • Co-Applicant Activity Status:
  • Are your total family assets less than $1 million?*
  • Format: (000) 000-0000.
  • Is your Home Address the same as your Mailing Address?*
  • How did you hear about our program?
  • Should be Empty: