Professional Documents
Culture Documents
Travel Guidelines
Fundraising Guidelines
Introduction……………………………………………………….…………….….… 1
1
Instructions for Requesting Fundraising
1. Fundraising requests may be submitted on a first come, first served basis. If you are
requesting fundraising dates for the following school year, please submit no earlier
than August of that year.
2. If you are fundraising for travel, your travel must be approved first. Please complete
the Field Trip and Travel Request form to the ‘Akahi Student Center. Please plan
ahead being that the approval process may take some time.
3. If you are a new advisor/coach, please make an appointment with the Dean of
Student Activities to review the fundraising guidelines. Failure to do this may delay
the approval of your fundraising request.
4. Complete the Fundraising Request form at least two weeks prior to the dates you
are requesting and submit to the ‘Akahi Student Center. If you are selling products
from another vendor, please attach a completed Indemnification Form. Failure to
do this may delay the approval of your fundraising request.
5. Please indicate the dates you wish to fundraise. If you are fundraising on campus,
you may request up to five (5) days per semester. If you would like additional
dates, please check with us on availability as we allow two groups to sell each
week provided they do not sell the same products.
8. Please be sure to complete the appropriate forms if you need cash advances,
check payments/reimbursements and deposits. Please refer to pages 11 through
16 in this handbook for more information.
NOTE: Please note that money raised through fundraising efforts are considered the property of
Kamehameha Schools and the school determines how the funds are to be spent. In the event of a
cancellation of an activity and/or travel, any fundraised monies are non-refundable. Only parent
contributions, not fundraised monies, may be returned to families.
2
ATHLETIC CLUBS SANCTIONED CLUBS CLASSES BOOSTER CLUBS
Does my club need to have a No Yes No. However, the department No
club charter sanctioned by head and the Dean of Student
ASKS? Activities should be aware.
Is my club required to have No, only if the group is a No No Yes
by-laws? booster club
Does my club need to submit No Yes, the club advisor should Yes, the club advisors should No
a club report? submit at teacher check-out submit at teacher check-out
Who should sign off on Only the coaches and AD Only the club advisor and Only the teacher and Only the coach/teacher and
contracts? may sign contracts Dean of Student Activities department head AD/department head
Who signs off on the The coach and AD The club advisor and Dean of The teacher and department The coach/teacher and
fundraising request? Student Activities head AD/department head
Who signs off on flyers, The AD and Dean of Student The teacher and Dean of The teacher and Dean of The AD and Dean of Student
apparel designs and group Activities Student Activities Student Activities Activities
communications?
Can I use the KS logo? Yes as long as the item is not Yes as long as the item is not Yes as long as the item is not Yes as long as the item is not
being sold for profit. Design being sold for profit. Design being sold for profit. Design being sold for profit. Design
must meet specific use must meet specific use must meet specific use must meet specific use
requirements. Please contact requirements. Please contact requirements. Please contact requirements. Please contact
Communications Division for Communications Division for Communications Division for Communications Division for
approval. approval. approval. approval.
If I want to do an overnight Yes. Please see Field Trip Yes. Please see Field Trip Yes. Please see Field Trip Yes. Please see Field Trip
activity, do I need to submit a
and Travel Guidelines found and Travel Guidelines found and Travel Guidelines found and Travel Guidelines found
Field Trip and Travel Request in this manual. in this manual. in this manual. in this manual.
Form?
If I want to open an account, The AD and the Dean of The Dean of Student The department head/Dean of The AD/department head and
who needs to approve the Student Activities Activities Student Activities Dean of Student Activities
Account Authorization Form?
3
Other FAQ
1. Can I request ATP funds?
Yes, you can request ATP funds. Applications are located in the Principal’s Office.
If you are fundraising off-campus, you may fundraise as often as you want for as long as you want. Please indicate the period in which
you intent to fundraise.
8. If we have a Student Activities Accountant (SAA), do I still need to keep track of my account?
Yes. You should still be keeping track to ensure deposits and withdrawals are accurate. In addition, the SAA should be sending monthly
statements to assist you in monitoring your account.
4
9. How are fundraising weeks assigned?
Fundraising weeks are assigned on a first come, first served basis. Fundraising requests for the following year may be submitted no earlier
than the first of August. If there are outstanding financial obligations from the previous year, this may delay approving your fundraising
requests for the following year.
10. Are there restrictions to the kinds of things our group can purchase?
Any equipment purchases should first be discussed with the department head/AD to first determine if the purchase can be covered by
the department budget or be provided by KS. If this is not possible, the group, with the approval of the department head/AD and Dean
of Student Activities, may make the purchase knowing that it then becomes responsibility of the group (e.g lost/stolen, repairs,
maintenance, etc.)
12. Where can I get the forms to make deposits and withdrawals to my account?
Forms can be found in the ‘Akahi Student Center or may be downloaded at http://kapalama.ksbe.edu/high/internal/login.php.
15. Can corporate sponsors pay for a student’s trip and use this as a tax deductible donation?
A charitable contribution to a specific individual is not deductible.
16. Can we use fundraised monies to purchase senior gifts or mahalo gifts for coaches?
No, gifts should not be purchased with fundraised monies for any individual. Gift purchases can only be made via non-fundraised monies.
5
REQUEST FOR APPROVAL OF FUNDRAISING EFFORT
DATE: _______________________________
TO: _________________________________
______________________________________________________________________________________
______________________________________________________________________________________
(NOTE: Travel requests must be approved prior to submitting this request. Please refer to Field
Trip and Travel Guidelines)
Solicitations will be made from the following groups (Example: friends, students, parents, etc.).
Please list:
______________________________________________________________________________________
On and off campus ______ Off campus only _____ On campus only ______
WE UNDERSTAND THAT NO SOLICITATION WILL BE MADE OF ANY MEMBER OF THE BOARD OF TRUSTEES
OF KAMEHAMEHA SCHOOLS
Period of fundraising (NOTE: No more than five (5) school days may be allowed for on-campus
fundraising):
1st Choice: From _______________ to _______________
2nd Choice: From _______________ to _______________
3rd Choice: From _______________ to _______________
______________________________________________________________________________________
NOTE: Work Requests and Facilities Use Request forms must be submitted upon approval.
-Continued on Back-
6
After completing the fundraising activity, a Fundraising Collection Report must be submitted to the
Dean of Student Activities (KHS), Student Activities Coordinator (KMS), or to the KES Principal. The
4.5% GET will be automatically deducted by the Student Activities Accountant.
I have read the Fundraising Handbook and will comply with the conditions contained in it.
_____________________________________ _____________________________________
Advisor’s/Coach’s Name (Please Print) Advisor’s/Coach’s Signature
__________________________________________________
__________________________________________________
_______________________ _______________________
Telephone No. (Work) Telephone No. (Home)
ACTION:
____________________________________________________________________ ______________
Athletic Director/Department Head Signature Date
____________________________________________________________________ ______________
Dean of Student Activities/Student Activities Coordinator/KES Principal Date
____________________________________________________________________ ______________
Director of Food Services Date
REVISED 10/08
7
KAMEHAMEHA HIGH SCHOOL
Date: _________________________
TO: ___________________________
NOTE: Where applicable, the 4.5% general excise tax will automatically
be deducted by the Student Activities Accountant.
EXPENSES:
Item Amount
General Excise Tax
$ __________________
_________________________________________ $ __________________
_________________________________________ $ __________________
_________________________________________ $ __________________
_________________________________________ $ __________________
**IF ORIGINAL RECEIPTS WERE SENT TO THE STUDENT ACTIVITIES ACCOUNTANT, PLEASE ATTACH A COPY OF THE
RECEIPTS TO THIS COLLECTION REPORT. THANK YOU!**
Revised 5/09
8
KAMEHAMEHA SCHOOLS
Fundraising Activity Release and Indemnification
THIS RELEASE AND INDEMNIFICATION is made this _____ day of ________________, 20____,
______________________________________________________________________________________
______________________________________________________________________________________
in favor of:
The Kamehameha Schools whose business address is 1887 Makuäkane Street, Honolulu,
Hawaii 96817.
connection with the club’s fundraising drive the following perishable food item (s)
_______________________________________
_______________________________________
for pick-up by the ultimate buyer directly from vendor between the following date(s):
Vendor has read and understands this Release and Indemnification, and agrees to be
bound hereby.
VENDOR
By ________________________________________
Its ________________________________________
(4125.II, 12/02)
9
The following are four forms that are to be used for recording your fiscal transactions:
Tier 1 Requests under $1,000 Form requires approval of the club advisor
only
Tier 2 Requests for $1,001 to $5,000 Form requires Tier 1 approval plus the
respective dept. head approval
Tier 3 Requests for $5,001 and above Form requires Tier 2 approval plus the
respective Student Activities
Coordinator/Dean
10
KAMEHAMEHA SCHOOLS
KAMEHAMEHA SCHOOLS STUDENT ACTIVITIES – KAPÄLAMA
CHECK REQUEST FORM
*Payment made to other KS Student Activity Clubs will not generate a check; process will occur as an internal transaction.*
**All original invoices and receipts are attached.**
TOTAL
Approved by:
(Advisor) Print Name Signature Date Phone/Email
Approved by:
(Department Head) Print Name Signature Date Phone/Email
***If amount is more than $1,000.00, second approval by Department Head required***
Approved by:
(Dean of Student Activities/Student Activities Coordinator) (Date)
****If amount is more than $5,000.00, approval by Student Activities Dean/Coordinator required****
By your signature, you are certifying that you have reviewed the transaction and related documentation and they conform to Kamehameha
Schools (KS) policy and that the transaction is within budget, free from known conflict of interest and in the best interest of KS.
11
KAMEHAMEHA SCHOOLS
KAMEHAMEHA SCHOOLS STUDENT ACTIVITIES – KAPÄLAMA
CASH ADVANCE FORM
*All original invoices and receipts are attached. All change to be reimbursed to Student Activities accountant.*
TOTAL
Approved by:
(Advisor) Print Name Signature Date Phone/Email
Approved by:
(Department Head) Print Name Signature Date Phone/Email
Approved by:
(Dean of Student Activities/Student Activities Coordinator) (Date)
**Cash Advance requires approval by the Club Advisor, Department Head, and Student Activities Dean/Coordinator**
By your signature, you are certifying that you have reviewed the transaction and related documentation and they conform to Kamehameha
Schools (KS) policy and that the transaction is within budget, free from known conflict of interest and in the best interest of KS.
12
KAMEHAMEHA SCHOOLS
Parent Assesment
ATP Grant
Donation
Cash or
Dues
Check # Payer Student Name Amount Other (Please provide explanation)
Cash
Cash
Cash
Cash
1
10
11
12
13
14
15
16
17
18
19
20
Cash Collected -
Checks Collected -
Total Amount Collected -
Page 1
Name: Email:
Club: Date:
Event: Account #:
Beginning Inventory - - - - -
Total Cost
Check
Student's Name Quantity Cost/Item Quantity Cost/Item Quantity Cost/Item Quantity Cost/Item Quantity Cost/Item Check Payer (List Check #) Amount
CASH - $ - - $ - - $ - - $ - - $ - $ - - CASH - - CASH -
1 $ -
2 $ -
3 $ -
4 $ -
5 $ -
6 $ -
7 $ -
8 $ -
9 $ -
10 $ -
11 $ -
12 $ -
13 $ -
14 $ -
15 $ -
16 $ -
17 $ -
18 $ -
19 $ -
20 $ -
Variance Explanation
Signature Date
*Hawaii General Excise Tax (4.5%) will be automatically calculated and remitted from the deposit total.
(Club’s Name)
Club’s Purpose:
Advisor
(Print Name) (Signature) (Phone) (Email)
has signed a statement acknowledging the forms and procedures pertaining to the use of a Kamehameha
Schools student activities account will be adhered to as outlined in the Student Activities Handbook.
Approved by:
(Dean of Student Activities/Student Activities Coordinator) (Date)
16
GUIDELINES FOR OTHER SOURCES OF FUNDRAISING
MONIES
2. Should a sanctioned club, class, booster club, or athletic team wish to charge
admission to their event, the following policies should be adhered to:
17
fundraising activity). Donations are part of your income and should be
logged as such; they are not part of your expenses and should not be
included when calculating your GET tax.
b. Donations received for services are subject to GET tax (e.g. gift wrapping,
Honolulu Marathon, etc.).
c. If you need to issue contribution receipt letters to those who have made
donations, please email (brchang@ksbe.edu) an excel spreadsheet to
include name, address, city, state, zip code, description of donation,
purpose of donation. Contribution letters will be drafted and sent to you.
1. All requests for fundraising MUST indicate products to be sold. Any changes
must be reported to ‘Akahi Student Center (KHS) or Principal’s Offices (KMS
and KES).
2. All forms of publicity (posters, flyers, commercials on Puka Mai Ka Lä, etc.)
must have approval from the Dean of Student Activities. Please allow 1 – 2
weeks PRIOR to publicizing event to account for any corrections and/or
approval.
4. Clubs are allowed to fundraise only within the designated period. FAILURE TO
DO SO MAY RESULT IN PRODUCTS BEING CONFISCATED AND/OR FUNDRAISING
BEING DENIED.
6. Selection for fundraising dates will be on a FIRST COME, FIRST SERVED BASIS.
THIS IS A CHANGE IN POLICY FROM PREVIOUS YEARS. The Request for
Approval of Fundraising Effort may be submitted no earlier than the first of
June as long as all GET taxes and year-end financial reports have been filed.
FAILURE TO DO THIS MAY RESULT IN THE DELAY OF APPROVING FUNDRAISING
REQUESTS.
1. After fundraising efforts are complete, all funds raised should go directly into
the club’s checking account using the appropriate deposit form (pp. 13 –
15). DO NOT KEEP CASH in an office, home, or classroom. ANY STAFF MEMBER
18
WHO DISREGARDS THIS POLICY WILL BE PERSONALLY RESPONSIBLE FOR ANY
FUNDS THAT ARE STOLEN FROM HIS/HER CLASSROOM, HOME OR OFFICE.
NOTE #2: Please note that money raised through fundraising efforts are
considered the property of Kamehameha Schools and the school determines
how the funds are to be spent. In the event of a cancellation of an
activity and/or travel, any fundraised monies are non-refundable. Only parent
contributions, not fundraised monies, may be returned to families.
19
INDIVIDUAL STUDENT FUNDRAISING MONIES
8. Students may not fundraise for trip “spending money” or for parent
travel costs.
9. Upon completion of trip, any left over funds in the student’s account
may be used for group-sponsored events for the remainder of that
school year only with the approval from the Dean of Student Activities
(KHS), Student Activities Coordinator (KMS), or Principal (KES).
20
10. In a non-travel year, funds in student accounts may be used, subject to
the approval of the Dean of Student Activities (KHS), Student Activities
Coordinator (KMS) or Principal (KES), for group-sponsored activities
(e.g. camps, uniforms, tournament tickets, etc.).
11. Alternative uses for funds may be possible only with the approval of the
Dean of Student Activities (KHS), Student Activities Coordinator (KMS),
or the Principal (KES).
NOTE: Please note that money raised through fundraising efforts are
considered the property of Kamehameha Schools and the
school determines how the funds are to be spent. In the event of a
cancellation of an activity and/or travel, any fundraised monies are
non-refundable. Only parent contributions, not fundraised
monies, may be returned to families.
21
KAMEHAMEHA HIGH SCHOOL
KAPÄLAMA CAMPUS
PERFORMING ARTS DEPARTMENT
Background
22
a. To provide enrichment opportunities not covered by the Schools,
such as:
• End of the year banquets/culminating activity
• Achievement awards/letters/jackets
• Some guest speakers/clinicians
• Supplementary uniforms
• Some afterschool meals and snacks
• Some admission fees to community plays, symphony
concerts, operas, recitals, etc.
b. To help defray the cost of enrichment travel.
5. The Performing Arts Dept. budget covers the basic cost of supplies and
services to operate at a level consistent with performing arts departments
nationally. However, the level of quality and output expected from
Kamehameha Schools is decidely higher than other local high schools,
public or private, and is acknoweldged as being above the national norm
for high school performing arts departments. Therefore, to meet this
demand, staff, students and families are expected to provide their own
supplementary resources in the form of volunteerism, donation of services,
out of pocket funds and devotion of personal time.
Guidelines
Please feel free to contact the Performing Arts Department Chair, at 842-
8975 if there are questions or for more information.
23
24
25
26
27
Procedures for use of KS Campus Facilities
A. Responsibilities, KS Responsibilities
Prohibited Activities
and General Rules for 1. The Headmaster, through the campus operations office, is authorized to
KS Facilities Use develop the day-to-day implementation of procedures governing the use
of campus facilities.
2. The CEO or his/her designee may grant exceptions to established
procedures when the best interests of KS would be served by an
exception.
User’s Responsibilities
Users:
1. Must designate an individual who will be on site and responsible for the
conduct of the user’s members and guests during the function. KS
reserves the right to end an activity and/or to direct individual(s) to leave
the campus.
2. Are responsible for damages or losses to KS property resulting from the
use of campus facilities.
3. Are responsible for their own clean-up after usage unless prior
arrangements have been made. Groups will be billed for applicable
custodial charges.
4. Must follow all rules and regulations. Failure to comply may result in loss
of future use of facilities.
Prohibited Activities
General Rules
1. The use of all campus facilities must be in compliance with all applicable
County ordinances, State and Federal laws, and established KS policies
and procedures. Failure to observe any statues, ordinances, laws or
policies and procedures may result in suspension of privileges.
2. The omission of any rules, practices or policies and procedures from this
document does not mean they do not apply. Rules, practices and policies
and procedures contained in other KS official publications and documents
apply to the use and scheduling of campus facilities as applicable.
3. Any use of a campus facility which interferes with KS activities will not be
allowed.
4. The use of campus facilities for an event where food is to be consumed,
distributed or sold may occur only when in compliance with Policy 253[C] -
Use of Food Services or Food Services Facilities at all KS Sites.
29
Facilities Use Request forms are available from Unit Offices, Principals'
Offices or from the Operations Office.
30
The insurance must cover the entire KS campus facility made available for
use to the program, and must provide that the policy cannot be canceled
without giving KS at least 30 days written notice of cancellation.
Indemnification Statement
● KS Divisions and Departments are not charged a fee for the use of
campus facilities when the meetings or activities are a direct part of
their regular activities. Programs may be charged for direct
personnel costs arising from their use of a facility, e.g., extra
security for directing traffic, etc.
● Direct costs are billed through the inter-departmental billing
system.
● The department’s director or fiscal officer is responsible to verify
charges. Discrepancies should be reported immediately to the
facilities manager or the campus operations office.
KS Recognized Organizations:
31
Non-KS Organizations:
Agreement form
● living in the immediate neighborhood of KS
Route Map
● Walk/jog during the designated hours of:
32
33
Volunteer Form Yes, check with Hawley Cappo Yes, check with Hawley Cappo Yes, check with Hawley Cappo
completed for all (842- 8659) or Cheryl (842- 8659) or Cheryl Yamamoto (842- 8659) or Cheryl Yamamoto
accompanying parent Yamamoto (842-8531) for a list (842-8531) for a list of cleared (842-8531) for a list of cleared
volunteers of cleared parent volunteers. parent volunteers. parent volunteers.
Alternate activity for Yes N/A N/A
non-participants
Complete Permission Yes, if activity will occur Yes Yes
to Participate in Field outside of the normal school
Trip/Activity Form? day
Provide emergency Yes, if activity will occur Yes Yes
contact information? outside of the normal school
day
Do I submit an Not required but would be Yes Yes
itinerary? helpful
Do I need an No If traveling to the neighbor island Only if travel is involved, otherwise
administrator to = NO no administrator is required.
accompany our If traveling internationally = YES
group? – one administrator if the group is
larger than 30; two administrators
is the group is over 100.
If traveling to the continent =YES
– one administrator if the group is
larger than 30; two administrators
is the group is over 100.
FIELD TRIPS
Field Trips (trips that are occurring during the school day and/or are part of class
curriculum):
1. All field trips are to be approved at a quarterly meeting.
2. First quarter field trip requests are submitted to the committee no later than one
week after the quarter begins. Second, third and fourth quarter requests are to
be submitted one week before the start of each quarter. Please use the Field
Trip and Travel Request Form and include all necessary paperwork.
3. The Field Trip Committee: 1) consists of one member per department; 2) will
include a rotating Unit VP; 3) serves for one year and meets once per quarter; 4)
members will be recommended by the department head.
4. Field trips can be held during the school day only when the location of the field
trip cannot be visited on a weekend or evening (i.e. visits to courtrooms,
legislative meetings) or when an outstanding guest is available for a limited
time.
5. Teachers must justify the reason for each field trip as well as why it cannot be
held on a weekend (See Field Trip and Travel Request Form).
6. Provide for an alternative activity in case a student cannot go (See Field Trip
and Travel Request Form).
7. If students will be in, around or near water (e.g. lo’i, beach, pool, etc.) an
Aquatic Activity Request form must be included in the packet as well.
8. Depending on its nature, field trips fewer than twenty-five (25) people may not
require an additional chaperone. All field trips with twenty-five (25) or more
people require at least one (1) chaperone in addition to the teacher.
9. All student work for classes missed on the day of the field trip is to be handed in
prior to going on the field trip.
10. Students must adhere to the school dress code when on a field trip. Exceptions
must be approved by the vice principal.
11. A supplemental meeting is to be scheduled, if necessary, to hear any appeals
from teachers whose trips have been denied.
12. Approved field trips will be listed in the Daily Bulletin.
13. Students with ten (10) absences per semester will not be permitted to attend a
field trip.
14. The teacher/advisor requesting the trip and the department head should sign the
request.
15. The Field Trip and Travel Request Form, along with necessary documents,
should be sent to ‘Akahi Student Center. Please do not send Transportation
Requests or Food Service Requests. Those forms should be processed by you or
your department clerk once your trip has been approved.
16. ‘Akahi Student Center will route the packet to the appropriate vice principal.
The appropriate vice principal will notify the teacher if the trip has been
approved.
17. Once the trip is completed, all permission forms should be submitted to ‘Akahi
Student Center.
42
FIELD TRIPS ON WEEKENDS
1. The Field Trip and Travel Request Form, along with necessary documents,
should be sent to ‘Akahi Student Center. Please do not send Transportation
Requests or Food Service Requests. Those forms should be processed by you or
your department clerk once your trip has been approved.
2. If students will be in, around or near water (e.g. lo’i, beach, pool, etc.) an
Aquatic Activity Request form must be included in the packet as well.
3. The teacher/advisor requesting the trip and the department head should sign the
request.
4. The first aid kit request along with a roster must be completed as part of the
packet.
5. Depending on its nature, field trips fewer than twenty-five (25) people may not
require an additional chaperone. All field trips with twenty-five (25) or more
people require at least one (1) chaperone in addition to the teacher.
6. ‘Akahi Student Center will notify the teacher if the trip has been approved.
7. Once the trip is completed, please submit all permission forms to the ‘Akahi
Student Center.
43
OVERNIGHT ACTIVITY GUIDELINES
44
OFF-ISLAND TRAVEL
1. Complete the Field Trip and Travel Request Form. This form must be completed no
matter when the travel is occurring (weekends, holidays, vacations and/or summer).
2. The advisor/coach/teacher requesting the trip and the department head should sign the
request.
3. Send form, along with required documents, to the ‘Akahi Student Center. Please note
that a completed template of the Permission to Participate in Field Trip/Activity and
Release Form must be submitted as part of the required documents. Per KS Policy and
Guidelines, the Permission to Participate in Field Trip/Activity and Release Form is
initiated when a KS staff member/advisor is planning field trips/activities that occur
outside of the normal school day hours (e.g. weekend overnights, neighbor island or
out-of-state travel).
4. If students will be in, around or near water (e.g. lo’i, beach, pool, etc.) an Aquatic
Activity Request form must be included in the packet as well.
5. If requesting a first aid kit, an additional roster should be included in your packet.
6. The Dean of Student Activities will review the request and verify if all financial
obligations (if necessary) have been completed. If so, the Dean will send the request
to the Administrative Team for approval.
7. The Administrative Team will review the request; if the field trip does not affect school
days, the request is sent to the principal for approval. If the request affects school
days, then the request is forwarded to the Field Trip Committee (see Field Trip).
8. If the Field Trip Committee approves the request, it is then sent to the principal for final
approval. Principal will then route the form back to the ‘Akahi Student Center. ‘Akahi
Student Center will notify the advisor that the trip has been approved.
9. If a group is also requesting ATP funds, the approved Field Trip and Travel Request
Form should be attached to the ATP request as verification that the travel has been
approved by the principal.
45
SLEEPING ARRANGEMENTS DURING TRAVEL
1. Prior to the activity, a letter must be submitted to all parents listing the following
information:
• Staff in charge of activity
• Emergency contact numbers
• Student behavior guidelines
• Parent permission forms
2. Staff members in charge must review student guidelines and expectations to ensure
student safety and accountability. All school rules are to be followed and applied.
3. Students should be made aware of the appropriate check-in time. All late arrivals
should receive prior approval from the staff member in charge of the activity. Once
the late check-in time has been determined, no students should be allowed to enter or
leave the sleepover area.
4. Male and female students should sleep in separate areas. Staff and parent supervisors
who are assigned to monitor student behavior during sleep hours must be of the same
gender. Adult supervision ratio should be one (1) adult to 20 students.
46
PARENT VOLUNTEER CHAPERONES
1. Volunteers who are assisting KS staff must have completed an Application to Volunteer for KS
form, the Authorization to Conduct Criminal History Record Check/Statement of
Understanding form and tuberculin skin test. All documents are to be submitted to the ‘Akahi
Student Center for approval and routing.
2. It is the responsibility of the staff member in charge of the activity/function to ensure all
volunteers have been cleared. Cleared parents will have a volunteer card issued by Parent
Alumni Relations (PAR). You may also call 842-8659 to verify if your volunteers have been
cleared.
3. Volunteers should not have responsibility for students without a staff member present in the
same room or area and is always in visual contact with the Volunteer.
4. Please have parent mail form directly to the address listed. In order to comply with our PII
policy, do not collect the form yourself.
5. For further questions regarding the volunteer policy, please refer to Policy 223(C) Policy on
Volunteers at Kamehameha Schools.
47
TRANSPORTATION ETIQUETTE
Airplane Guidelines:
• Be prompt! Check in early.
• Checked luggage should measure no more than 62” and weigh no more than 50
pounds.
• Be courteous of other travelers on the aircraft and refrain from excessive noise and
loud talking.
• Be mindful of your belongings, especially your ID, airline tickets, medical card,
money and other valuables.
• Upon arriving at your destination, do not be in a rush to deplane. Take your time
to check under the seats, in the seat pockets and overhead compartments for your
belongings.
Bus Guidelines:
• Be prompt! Buses need to leave on time.
• Treat your driver with courtesy and respect. Keep in mind that SAFETY is the
driver’s main concern.
• Keep head, arms and legs inside the bus. Remember, throwing objects inside or
outside of the bus is prohibited.
• Remain seated while the bus is in motion.
• Buses must be kept clean. Food and drinks may be taken and consumed while
traveling ONLY IF allowed by bus officials.
48
LODGING ETIQUETTE
• Be in your room 30 minutes prior to “lights out” time. Be certain lights are out and
you are quiet.
• While in your room be courteous of others. Hallways and walls carry sound so please
be a “good neighbor.” Remember, making noise or disturbing others by running down
corridors will not be tolerated.
• Keep your room locked at all times. Know who has the key. Keep track of personal
belongings. Leave valuables at home. Lock your suitcase when leaving your room.
Open your door only if you know who is on the other side. Even if they identify
themselves as hotel employees, do not open your door. Call the front desk and ask if
someone from their staff is supposed to have access to your room and for what
purpose. Call your chaperone and inform him/her of the situation.
• Close the door securely whenever you are in your room and use all of the locking
devices provided.
• Please leave hotel linen, furnishings and any other items when you leave. Be a
responsible guest by keeping your room in proper order. You will be financially
responsible for any loss or damages.
• When returning to your lodging late in the evening, use the main entrance. Be
observant and look around before entering parking lots.
• If you see any suspicious activity, please report your observations to your chaperone.
• Be cautious about displaying guestroom keys in public or carelessly leaving them on
restaurant tables or other places where they can be easily stolen or forgotten.
• Telephone usage should be kept to a minimum. You will be assessed for any phone
calls that are made when you check out.
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STUDENT CODE OF CONDUCT
We place great faith in our students. We believe they are capable of being exemplary
ambassadors. However, there have been situations in the past where a single person has
negatively impacted the group as a whole.
MAJOR INFRACTIONS
Substance Abuse
1. Smoking/chewing tobacco, etc.
2. Partaking in or possession of alcohol or any unauthorized medication
3. Partaking in or possession of any illegal substances
4. Possession of drug paraphernalia
Insubordination
1. Verbally abusive behavior
2. Physically abusive behavior; fighting
3. Disrespect towards adults or students
4. Flagrant disrespect for hosts, elders or KS staff
5. Flagrant violation of KS rules
6. Inappropriate conduct when part of a school-related activity
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INCIDENT PROCEDURES AND CONSEQUENCES
1. The incident will be addressed on the spot by any KS adult supervisor and/or
chaperone.
2. Report infraction to the appropriate chaperone who will notify the adult in charge.
3. If necessary, parents and school officials will be notified.
4. Consequences for infractions can be found in the Student/Parent Handbook.
5. If infraction requires that the student be released from the group, parents will bear the
cost of the return ticket to O’ahu.
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RESPONSIBILITIES OF PARENT CHAPERONES
Parent chaperones assist the group by providing security, guidance and coordination for
assigned students throughout the trip. All parent chaperones must complete the KS
Application to Volunteer form prior to the trip. The process involved a TB test and
Criminal Background check so please check with the PAR Office (842– 8659) or Student
Activities (842-8531) to verified if you have been cleared to participate.
Discipline Issues: Any discipline issues should be handled by KS adult supervisors and/or
administrators.
Medical Emergencies: Refer any medical concerns to the KS adult supervisors and/or
administrator. The KS adult supervisor(s) should have medical information for each
student traveling with the group at all times.
Student Information: Chaperones must carry with them, at all times, each of their
student’s medical information.
General Expectations: While traveling with the group, it is prohibited to consume alcohol
for the duration of the trip. If you become under the influence of prescription drugs
and/or over-the-counter medication for medical illness, please notify the KS adult
supervisor in charge.
52
RESPONSIBILITIES OF KS ADULT SUPERVISORS
As the adult responsible for the group, you have the responsibility of ensuring that students
are safe and are adequately supervised for the duration of the trip. You are also
responsible for ensuring that chaperones are fulfilling their responsibilities in seeing that
all students are safe.
Discipline Issues: Any discipline issues should be handled by KS adult supervisors and/or
administrators. Serious infractions should be reported immediately to an administrator
traveling with the group or immediately upon return. Obtain written statements from all
involved.
Medical Emergencies: The KS adult supervisor(s) should have medical information for
each student traveling with the group at all times. By completing the medical kit form in
the permission form packet, Hale Ola will provide you medical information for each
student traveling in your group. Contact parents if the situation warrants.
Student Information: Chaperones must carry with them, at all times, each of their
student’s medical information and parent contact information.
General Expectations: While traveling with the group, it is prohibited to consume alcohol
for the duration of the trip. Any incidents involving you and students should be reported
immediately upon return from your trip. Upon return, please submit all permission forms,
incident reports, etc. to the ’Akahi Student Center. Records of the trip will be stored for
seven years.
53
Emergency Contact Information
Supervisor in Charge
Chaperones
Name of Lodging
54
KAMEHAMEHA SCHOOLS KAPÄLAMA HIGH SCHOOL
FIELD TRIP AND TRAVEL REQUEST FORM
DATE: ___________________
________________________________________________________________________________________________
IF OTHER THAN EVENING OR WEEKENDS, JUSTIFICATION FOR GOING DURING SCHOOL HOURS:
________________________________________________________________________________________________
________________________________________________________________________________________________
IF EVENT WILL OCCUR DURING NORMAL SCHOOL HOURS AND/OR IS PART OF CLASS
CURRICULUM:
Classes teacher will be miss attending event (Circle each one) HR 1 2 3 4 5 6 7 8 9 NONE
PLEASE ATTACH LESSON PLAN AND OBJECTIVES, FOUR (4) COPIES OF YOUR GROUP ROSTER
(NAMES AND ID NUMBERS), TRANSPORTATION & FOOD SERVICE FORMS (IF NECESSARY) TO YOUR
DEPARTMENT HEAD.
DISTRIBUTION
1. Copy w/ class list (DH) 2. Copy w/ class list (Unit 11/12) 3. Copy w/ class list (Unit 9/10) 4. Copy (ASC)
------------------------------------------------------------------------------------------------------------------------------------------------------------------
IF EVENT IS TO OCCUR OFF-ISLAND (any off-island travel at ANY time):
PLEASE ATTACH 5 COPIES OF YOUR GROUP ROSTER (NAMES AND ID NUMBERS) TRAVEL
ITINERARY,COMPLETED PERMISSION FORM TEMPLATE AND EMERGENCY CONTACT INFORMATION
FOR DISTRIBUTION TO YOUR DEPARTMENT HEAD, UNIT VPs, BOARDING OFFICE AND PRINCIPAL’S
OFFICE.
I certify that the financial obligations for this group are current.
__________________________________
Dean of Student Activities Date
DISTRIBUTION:
1. Copy w/ class list, itinerary, emerg. contact (DH) 2. Copy w/ class list, itinerary, emerg. contact (Unit 11/12)
3. Copy w/ class list, itinerary, emerg. contact (Unit 9/10) 4. Copy (ASC) 5. Copy w/ class list, itinerary, emergency
contact (Boarding) 6. Copy w/ class list, itinerary, emergency contact (Principal’s Office)
I certify that I have attached all required documents and I have cleared any financial obligations related to my
group (if applicable).
__________________________________
Advisor’s Signature Date
__________________________________
Department Head’s Signature Date
__________________________________
Field Trip Committee VP Date
Approved: ___________________________________________
Julian Ako, Principal Date
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FORM A
TB read date: __________
CB clr date: ___________
KAMEHAMEHA SCHOOL
Application to Volunteer KS Kapälama Campus 2009-2010
Personal Information
Name (Print: Last, First, Middle): _______________________________________________________________
Home address: _______________________________________________________________ Apt. #_________
City: __________________________ State: _____________________ Zip Code: ________________________
Home Phone: _______________________________ Work Phone: __________________________
Student’s Name: _____________________________ Relationship: (to student) __________________________
Grade: ______ Activities wishing to volunteer for: ______________________________________ALL________
Emergency Contact Information
68
Form B
*** If YES, PLEASE ASK YOUR DOCTOR TO COMPLETE THE REST OF BOX #1:***
Date PPD Given:____________ Date PPD Read:___________ PPD Results:__________
Date Chest Xray Done:_______________ Chest Xray Results: ______________________
Physician’s Name:___________________Physician’s Signature:_____________________
3. Have you traveled to any high-risk tuberculosis areas like: Africa, Asia, Eastern Europe,
Central America, South America, Mexico, Caribbean, Japan, Philippines or the Middle
East for more than one week since your last TB Skin Test results were submitted to KS?
4. Has anyone living in your household come to the US from a high-risk tuberculosis area
like: Africa, Asia, Eastern Europe, Central America, South America, Mexico,
Caribbean, Japan, Philippines, or the Middle East in the past 5 years?
If you responded “NO” to all of the above, please submit this questionnaire with your volunteer application.
If you responded “YES” to Question #1, take this form to your physician to complete the rest of Box #1
before submitting this form with your volunteer application.
If you responded “YES” to Question #2, #3, #4, OR #5, take this form to your physician to have a NEW TB
Skin Test done and documented below before submitting this form with your volunteer application.
Revised 6/16/09 White copy to Parent-Parent to forward to PAR Yellow copy-Hale Ola
69
FORM C
Kamehameha Schools
Parent and Alumni Relations Office
SY 2009-2010
This authorization is ONLY required if you are having your TB test done at Hale
Ola. Please present to KS nurse, at time of TB test so that you will not be charged.
The following individual is a (circle one) parent or guardian of a student at Kamehameha Schools-
Kapälama Campus and is authorized to have a TB test administered at your facility.
Kamehameha Schools requires proof of a current TB test result/clearance which has been done within
the last 12 months, before you can be cleared to volunteer at Kamehameha.
• If you have had a TB test done within the past 12 months, a copy of your TB clearance is
sufficient.
• If you do not have a current TB clearance, you may make arrangements to have a skin test taken
through your private physician at your expense, OR you may have your TB test done at either of
the following locations:
Grades K-8, our KS dispensary (located across of Elementary Dining hall) is also available for TB
testing. Hours 8:00am-2:00pm and procedure is the same as Hale Ola (see above).
IMPORTANT
Once you receive your TB clearance, please submit a copy of your TB card (from the State) or TB results form
(from Hale Ola or your physician) to Parent & Alumni Relations Office,
1887 Makuakane St, Honolulu, HI 96817. Phone (808) 842-8659 Fax #841-5293
70
(OVER)
TB Location Information
Skin Test
Monday, Tuesday, Wednesday and Friday (Note: NO SKIN TEST ON Thursday)
Lanakila Health Center -ground floor 7:45am – 3pm 832-5731
(Skin Test Reading 2 days after it is given)
Stationary Chest X-Ray Unit-Mon, Tues, Wed, Fri- 7:45 – 3 pm Thur- 7:45 – 2 pm
Lanakila Health Center ground floor 832-5731
1700 Lanakila Ave, Room 213, Honolulu, HI 96817
Monday Only
Wahiawa Nursing Office 2pm - 4pm 622-6445
910 California Ave, Rm. 119 PICTURE ID REQUIRED
(Skin Test Reading- Wednesday only, same time)
Tuesday Only
Diamond Head Health Center 2pm-4pm 733-9220
3627 Kilauea Ave, Room 302 PICTURE ID REQUIRED
(Skin Test Reading- Thursday only, same time)
Wednesday Only
Waipahu Civic Center 2pm – 4pm 675-0080
94-275 Mokuola St, Room 101 PICTURE ID REQUIRED
Waipahu, HI 96797 Skin Test Reading-Fridays, 2pm-4pm
Other Island State Department of Health Public Centers- volunteers desiring to take the TB skin test through the
State of Hawaii must call the appropriate Outer Island Public Health Centers:
Hawaii County (East) 974-6025 Kauai 241-3387
Hawaii County (West) 322-1500 Maui 984-8260
Molokai 553-3663 Lanai 565-7114