Hawaii Technology Academy - Public Charter School and Blended Learning
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List of Enrollment Forms & Documents

Below is a list of forms and documents that will need to be uploaded to HonuHub during the enrollment process. HonuHub is HTA’s Online Student Information System.  

​All documents must be scanned as an Adobe PDF file. Photos will not be accepted.


​

Family Documents

Proof of Residency: (REQUIRED)
Must be attached to the residence and dated within the last 60 days.
​Acceptable documents:
  • Mortgage Statement, Rental Agreement or current real property assessment document in the parent/guardian’s name with current address.
  • Utility Bill Statement: Water, gas, electric, cable or landline telephone bill in the parent/guardian’s name with current address.
  • If the parent/legal guardian cannot provide documentation of legal residence because the parent/legal guardian is living with a relative/friend, a notarized statement by the relative/friend can be accepted with the following requirements:
    • (a) Notarized statement must state that the parent/legal guardian and child are living with the relative/friend;
    • (b) Notarized statement must state the name of relative/friend that is on the relative/friend’s proof of legal residence;
    • (c ) Notarized statement must state the same address of relative/friend that is on the relative/friend’s proof of legal residence;
    • (d) A copy of the relative/friend’s proof of residency documentation must be attached to the notarized statement; and
    • (e) Notarized statement must be signed by the relative/friend listed on the proof of legal residency. 
    • Click here for the Proof of Residence Verification Form when the bill holder is not the parent or guardian 
  • Military/Permanent Change of Station (PCS) Orders:  Military Orders will only be accepted as a placeholder.  Military families must be on island and be able to provide proof of residency within 14 days of arrival on island. Arrival must occur before the first day of school. 
    
Application for Reduced Fees: (optional)
HTA does not participate in the National School Lunch Program, however, we offer the Application for Reduced Fees to determine if your family would otherwise qualify.  Families that qualify can see a reduced deposit amount for HTA’s Computer Loan program, reduced cost for field trips, fee waivers, student fee, internet reimbursements and more.

Legal Documents: (if applicable)
This pertains to the entire family.  If you have legal documents to pertaining to a specific child, you can upload that under Student Documents.
  • Power of Attorney if the child is not living with the parents (must be renewed annually and have an expiration date). Click here for a sample Power of Attorney document.
  • Restraining Order
  • Guardianship documents
  • Legal name change
  • Court orders
  • Other: ____________​

Student Documents

​Birth Certificate: (REQUIRED)
  • Legible copy of the original birth certificate or certified copies is acceptable for enrollment. 
  • If certification is on the back, both sides of the original birth certificate must be uploaded.
  • All birth certificates in a foreign language must be translated by a state approved institution or person if no passport or visa is available.
  • ​If birth certificate is not available, then a VISA or passport may be used to verify birthdate and legal name, but parents need to submit other proof of legal parent relationship.

Student Health Record: 
All students enrolling in a Hawaii school for the first time must have:
  • Tuberculosis (TB) clearance : Proof of TB clearance is required. No appointment card will be accepted upon enrollment. Students who have not completed these requirements by the first day of school will not be allowed to attend school until these requirements are met. Approval of TB clearance is conditional upon review and final approval of the Health Aide. ​
  • AND
  • Student Immunizations & Physical: ​Click here for Student Health Record (Form 14). Students who have not completed these requirements by the first day of school will not be allowed to attend school until these requirements are met. Approval of all heath record items is conditional upon review and final approval of the Health Aide.
    • A completed Hawaii Student Health Record (Form 14) or Immunization Record. This includes:
    • Physical examination (PE)
      • For students entering grades K-6 and 8-12:  A physical examination must be completed within one year before first attending school in Hawaii and must be performed by a U.S. licensed physician, APRN, or PA.
      • For students entering grade 7: Beginning with the school year 2019-2020, a physical examination must be completed within one year before entering grade 7 and attending school in Hawaii. Physical must be performed by a U.S. licensed physician, APRN, or PA.
        ​
        - OR -
      • a signed statement or medical appointment card from the student’s doctor to prove the student is in the process of completing immunizations or the physical exam.
  • ​​A Religious or Medical Exemption Form may be submitted (if applicable) for immunizations only. Click here for sample of religious exemption form.​

Semester 1 Report Card/Transcript: (REQUIRED)
  • S1 Report Card:  Students entering grades 1-9
  • S1 Report Card and Transcript:  Students entering grades 10-12
  • Homeschool:  Most recent annual progress report or standardized test results as required. Click here for a sample homeschool report card.

Final Report Card/Transcript: (REQUIRED)
  • Final Report Card:  Students entering grades 1-9
  • Final Report Card and Transcript:  Students entering grades 10-12
  • Homeschool:  Current annual progress report or standardized test results as required. Click here for a sample homeschool report card.

Copy of most current IEP/504 Plan (if applicable)
  • 504 Plan: Current or within past 3 years
  • IEP (Individualized Education Plan):  Current or within past 3 years

Medical Documents: (if applicable)
  • Upload required medical documents (i.e. Self Administration of Medication Form for the use of EpiPen and Inhaler, Request to Store and Administer Meds etc.)
  • Other
  • Click here for sample of self-administration of medication 
  • Click here for sample to store and administer medication form
  • Click here for diabetes care/insulin form 

McKinney-Vento Form: (REQUIRED)
If you are currently in a homeless situation such as living in a hotel, tent, beach, vehicle, shelter or even a relative’s home due to a financial loss your child may be eligible for certain educational rights or services under the McKinney-Vento Act. For more information on the McKinney-Vento form or to see if you qualify, please contact our office. Click here for sample of McKinney-Vento Form

Media Release Form: (REQUIRED)
During the enrollment process in HonuHub (HTA's internal platform), parents will be required to fill out a Media Release Form. This form will let us know if you do or do not with for your child to be photographed or filmed by HTA,  members of the media, organizations or agencies at school, for use in print or Internet publications, documentaries, films or video, to the extent that the school can prevent such contact. Note: This does not include videotaping by security cameras in school.

​Main Office
​Hawaii Technology Academy​
94-450 Mokuola St, Suite 200
Waipahu, HI 96797
808-676-5444 (phone)     
​808-676-5470 (fax)
info@myhta.org


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​Notification of Rights Under FERPA.  

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For more information on your privacy rights, the laws that protect them, and how to exercise your rights, contact your school administrator or visit http://www.hawaiipublicschools.org/VisionForSuccess/SchoolDataAndReports/StudentPrivacy/Pages/home.aspx
  • Home
  • About
    • What is HTA?
    • Blended Learning Model >
      • Face-to-Face Instruction
      • Virtual Instruction
      • Independent Learning
    • Distance Learning
    • HTA Campuses
    • Mission & Vision
    • Governing Board >
      • Agenda and Minutes
      • Board Documents
      • Governing Board Policies
    • Frequently Asked Questions
    • School Profile
    • Success Stories >
      • Submit Your Story
    • HTA COVID 19 Response
  • Admissions
    • Admission Information
    • Required Documents
    • Admission & Enrollment Policies
    • Information Session
  • Academics
    • Elementary School
    • Middle School
    • High School
    • Student Spotlights
  • Programs
    • Career-Based Learning Model
    • HTA NuVuX
    • pbHTA
  • Summer School
  • HonuHub
  • Forms & Information
    • Request Forms
    • Tax Forms
    • School Information
    • Computer Loan Program
    • Schoolwide Guidebook
    • Community Complaints
  • College & Career
  • School Calendar
  • Contact
    • Contact Us
    • Locations
    • Faculty & Staff
    • Employment
    • Partnerships at HTA
    • Alumni
    • UIPA Request
  • Giving
    • Friends of HTA >
      • Give Now
  • STORE