Pono Middle / High School Scholarship Application

Student's Name

First Name

Last Name

Student's Date of Birth

YYYY

Select your family's annual gross income in 2021

Select level of scholarship requested

Select your child's ethnicity

Does your child have any special needs of which we should be aware?

Does your child have any medical issues of which we should be aware?

If you have any questions or comments, please let us know here:

You will be notified of the status of your application within 48 hours. Please sign and date below.