Form Instructions

HMSA Kaimana Scholarship Application

To apply for a Kaimana Scholarship, please print and fill out this form. Mail it to HHSAA at the address below. Completed applications must be received by HHSAA and postmarked by Feb. 27, 2009.

  • Fill in your name, date of birth, home address, and mailing address. Your mailing address will be used to notify you if you are selected as a recipient of an HMSA Kaimana Scholarship.
  • Fill in your home and cell telephone numbers, and your email address.
  • Fill in your current high school, list the sports team(s) you participated on, and the number of years you participated on the team(s). If you attended more than one school and participated on teams at each school, list all schools and all sports.
  • List your community service and club memberships, if applicable, and briefly fill in the activities, number of hours, and year(s) of service.
  • Fill in your current cumulative grade point average and have it verified by a school faculty member.
  • List your academic awards.
  • Write a short essay on why you believe you deserve a Kaimana Scholarship.
  • Sign and date the form.
  • Submit this form with at least two letters of recommendation from faculty members.
  • If you are submitting your transcripts, please enclose them with your application; do not send them separately.
  • If additional space is needed, please attach a typed page with the additional information.

Mail all materials to:
HHSAA
P.O. Box 62029
Honolulu, HI 96839

If you have any questions, please call Debbie Ito at HMSA at (808) 948-6840 on Oahu.

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