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Honolulu Community Action Program

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Upcoming Vaccination Events

 Posted on August 10, 2021 by Eleni Valan


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 Category: Events

← HCAP WEEKLY August 2, 2021
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Disclaimer: HCAP does not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), nation orgin, age (40 or older), disability and genetic information (including family medical record), or reprisal or retaliation for civil rights activity in any program or activity conducted.

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Early Head Start and Head Start Application - 2023

Apply your child for HCAP Early Head Start and Head Start (V. 2021.01.01)
  • Section A: Child Applicant

    Information about the child who is applying.
  • Section B: Family Information

  • Section C: Primary Adult

    Information about the primary adult responsible for applying child.
  • Section D: Secondary Adult

    Information about the secondary adult responsible for applying child.
  • Section E: Other Family Members Supported by Guardian's Income

  • (Use Numbers)
  • (Use Numbers)
  • Section F

  • Certification: Please Read and Submit Your Application

  • I certify that the information provided herein, and in any other related documents and/or representations, are true and correct to the best of my knowledge, and I understand that access to any and all HCAP premises, programs and/or services through misrepresentation or fraud may be punishable under HCAP policies, procedures, or practices including, but not limited to, refusal of services, at the sole discretion of HCAP. I further understand that a false statement under these forms or other communications can also expose me to civil and/or criminal liability that may include financial obligations or criminal penalties. I understand that this information will be used only to determine if I may gain entry onto any and all HCAP premises, and/or to determine if I and my family are eligible for any and all HCAP services, and will not be released to non-HCAP sources without my prior knowledge and written consent. HCAP does not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability and genetic information (including family medical history), or reprisal or retaliation for prior civil rights activity in any program or activity conducted.

Pregnant Woman Application - 2023

Pregnant woman apply for HCAP Early Head Start (V. 2021.01.01)
  • Section A: Prenatal Mom

    Information about the pregnant mom who is applying.
  • Section B: Family Information

  • Section C: Primary Adult

    Information about the primary adult responsible for the applying pregnant mom.
  • Section D: Secondary Adult

    Information about the secondary adult responsible for applying pregnant mom.
  • Section E: Other Family Members Supported by Your or Guardian's Income

  • (Use numbers)
  • (Use numbers)
  • Section F

  • CERTIFICATION: Please Read and Submit Your Application

  • I certify that the information provided herein, and in any other related documents and/or representations, are true and correct to the best of my knowledge, and I understand that access to any and all HCAP premises, programs and/or services through misrepresentation or fraud may be punishable under HCAP policies, procedures, or practices including, but not limited to, refusal of services, at the sole discretion of HCAP. I further understand that a false statement under these forms or other communications can also expose me to civil and/or criminal liability that may include financial obligations or criminal penalties. I understand that this information will be used only to determine if I may gain entry onto any and all HCAP premises, and/or to determine if I and my family are eligible for any and all HCAP services, and will not be released to non-HCAP sources without my prior knowledge and written consent. HCAP does not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability and genetic information (including family medical history), or reprisal or retaliation for prior civil rights activity in any program or activity conducted.