Hawaii YIP Application

University of Hawaii Youth Impact Program Application 2019

Please use this form to apply to the University of Hawaii Youth Impact Program. If you have any questions, please contact University of Hawaii YIP's Program Director, Jason Cvercko jcvercko@hawaii.edu
  • Parent Guardian Information

  • Emergency Contact information

  • Statement of Responsibility:

  • By signing above, I certify that all information is true and correct to the best of my knowledge. *Must be signed by Legal Guardian*