Aloha!

You are invited to register your child(ren) for the Aloha MAP - Meritorious Achievement Program. As a member of the Aloha MAP Ohana your child(ren) will be offered the opportunity to participate in various unique, fun and engaging experiences (clubs, workshops, academies, family experiences) designed to improve student achievement through academic and cultural learning, aligned but not limited to:

Hawaiian Language & Culture
Ocean Sciences
Health & Wellness
Media Productions
Paleontology, Geology, Chemistry, Physics, Engineering
Arts
Agriculture & Farm to Table
Reading & Writing
Academic Intervention
College & Career Readiness
Dual Enrollment/Early College Course Opportunities
Family Learning Excursions & More!

PreK - 12th grade students attending Ka'u, Konawaena and Kealakehe Complex Schools are eligible to register.

Submit a separate application per child.

The Aloha MAP – Meritorious Achievement Program is fiscally sponsored by Friends of the Future, a Hawaii 501(c)3 non-profit corporation located in Waimea, Hawaii.

Contact Information

Phone: Coming Soon! We are updating our phone system.

Email: notifyalohamap@gmail.com

Website: www.alohamap.org

Address:

PO BOX 394

HOLUALOA, HI 96725

*A Parent or Guardian is required to authorize submission of this form.

Fiscal Sponsor: Friends of the Future

Project Director: Lilinoi Grace

The Aloha MAP Program does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities.

Stephens Amendment Acknowledgement Statement

The Aloha MAP Program is funded by U.S. Department of Education Native Hawaiian Education Program (NHEP) awards totaling $8,352,904, from 2020 to 2024. The program does not necessarily represent the official views of, nor an endorsement, by NHEP, the U.S. Department of Education, or the U.S. Government. For more information, please visit www.ed.gov

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Parent/Guardian Phone *

Student Information

Student First Name *

Student Last Name *

Student Email Address (Grades 9-12) 🛈

T-Shirt Size *

Mailing Address: *

City *

State *

Zip Code *

Gender *

Male

Female

Age *

Birthday (MM/DD/YYYY) * +

Current Grade Level *

Ethnicity *

School *

Which of the following interest you? Check all that apply. *

What years has the student been involved in the Aloha MAP Program? (Check all that apply) *

Did the student ever repeat a grade level? *

Yes

No

Does the student qualify for free/reduced lunch? *

Yes

No

Has the student ever been in foster care? *

Yes

No

What tools does your the student have access to for online learning? (check all that apply) *

What method of learning is the student involved in through your school? *

In-Person at School

Distance Learning Distance Learning

Aloha MAP Liability Release Statement

Please Read Carefully

In exchange for participation in Aloha MAP program activities, under the fiscal sponsorship of Friends of the Future, I agree to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Aloha MAP and/or Friends of the Future staff.

2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize there are certain inherent risks associated with Aloha MAP activities and I assume full responsibility for personal injury to myself and further release and discharge those parties named in the first paragraph of this document, whether caused by the fault of myself or presence upon the premises, whether caused by the fault of myself, the organizations named above or other third parties.

3. INDEMNIFICATION. I agree to indemnify and defend the organizations named above against all claims, causes of action, damages, judgements, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my presence on the premises.

4. FEES. I agree to pay for all damages to the premises caused by any negligent, reckless or willful action by me.

5. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above activty shall be resolved under Hawaii law.

6. NO DURESS. I agree and acknowledge I am under no pressure or duress to sign this Agreement and I have been given reasonable opportunity to review it before signing.

7. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

8. DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the mediation and arbitration services accepted as general practice in the State of Hawaii.

I have read this document and understand it. I further understand by signing this release, I voluntarily surrender certain legal rights.

(An Authorized Parent/Legal Guardian shall acknowledge and give consent by typing his/her First Name and Last Name in the provided area below.)

Authorized Parent/Legal Guardian First Name *

Authorized Parent/Legal Guardian Last Name *

Aloha MAP Media Release

I hereby grant permission for Aloha MAP fiscally sponsored by Friends of the Future to publish, copyright, or use all films, photographs, computer-generated imagery, and printed and spoken words in which my son/daughter is included, whether taken by staff, students, or others. I further agree that Aloha MAP can use these photographs, films and words for evaluative/performance reports, exhibitions, displays, web pages and publications, without resesrvation or compensation. I waive any inspection or approval of the media and release and agree to hold harmless Friends of the Future, Aloha MAP and partners from and against any and all claims including, but not limited to, invasion of privacy that I might ever have in any way relating to media.

(An Authorized Parent/Legal Guardian shall acknowledge and give consent by typing his/her First Name and Last Name in the provided area below.)

Authorized Parent/Legal Guardian First Name *

Authorized Parent/Legal Guardian Last Name *

Personal Information Disclosure Statement

I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that all personal information will be kept confidential and will not be disclosed without written consent from the listed primary caretaker/legal guardian.

I grant my permission and authorize Friends of the Future and Aloha MAP to use information provided in this application for the sole purpose of generating program performance/evaluative reports required by the federal funding agency, Friends of the Future and key stakeholders. I understand that during the generation of any performance/evaluative reports, the applicant/primary caretaker/parent/legal guardian's personal information will always remain confidential.

(An Authorized Parent/Legal Guardian shall acknowledge and give consent by typing his/her First Name and Last Name in the provided area below.)

Authorized Parent/Legal Guardian First Name *

Authorized Parent/Legal Guardian Last Name *