Date of Birth *:
Gender *: MaleFemale
Enrollment *: FULL DAYHALF DAY
Yes, Before School Care (7:00 - 8:00 am)Yes, After School Care (2:30 - 5:00 pm)
Expected drop-off time *:
Expected pick-up time *:
Desired Start Date *:
Is the applicant a US citizen? * YesNo
If not, what citizenship:
Please list school(s) that applicant has attended.
School 1:
Attendance Dates:
Grades:
School 2:
Subjects enjoyed most *:
Subjects enjoyed least *:
School activities *:
Has student ever received disciplinary censure at shool or from the community? If yes, please explain *.
Do you have a relative or friend who attends(ed) our preschool? YesNo
If so, please provide name, grades attended.
Other children in applicant's family (name, age, school, other).
How did you hear about Early Achievers Preschool Hawaii?—Please choose an option—Internet SearchHawaii Parent MagazineInternet AdReferralSchool WebsiteOther
Please provide background information as to why you are interested in Early Achievers Preschool Hawaii. *
Signature of Parent and/or Guardian *:
Print Name *:
Date *:
Please pay a $50 deposit ($150 for international students) to submit the application.
Amount *:$50$150
By clicking on “APPLY NOW,” I agree by electronic signature to : (1) receive recurring automated marketing and other calls, texts, and prerecorded messages from Early Achievers Preschool Hawaii and at the number I entered above, even if I am on a “Do Not Call” list (consent not required to make a purchase, msg & data rates apply, reply STOP to opt-out of texts or HELP for help); (2) The Privacy Policy for more information (which describes how Early Achievers Preschool Hawaii collects and uses personal information and any privacy rights I may have).
