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Nā Keiki O Emalia
Grief Support for Children and Teens
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About
About Nā Keiki O Emalia
Important Links to Get You Started
Staff and Board Members
Careers at Nā Keiki O Emalia
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Keiki Free Grief Support Programs Offered
How to Bring Grief Services to Your Child’s School
Keiki Group Support Program Application
Request Service Form for School and Community Officials
Adult Grief Support Groups – In Person and on Zoom
Keiki Care Package Program
Keiki Canoe Experience
Project Ho’olana – Building Local Support for Grieving Keiki
How You Can Help
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Volunteer Opportunities
Volunteer Application
Volunteer Monthly Zoom Meetings
Background Check Application
For Facilitators and Aspiring Facilitators
Become a Facilitator
Attend a Monthly Facilitator Enrichment Zoom
Online Facilitator Training – Free
Apply for Facilitator In-Person Intensive Training – Free
Join in Rountable Discussions
Keiki Care Package Program
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In-Kind Donations
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Maui Fire Relief Resources
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Social Security Survivors Benefits – How to Apply
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Home
About
Nā Keiki O Emalia
Important Links to get you started
Staff and Board Members
Careers at Nā Keiki O Emalia
Memorials
Gallery
Services
Keiki Free Grief Support Programs Offered
How to Bring Grief Services to Your Child’s School
Keiki Support Program Application
Request Service Form for School and Community Officials
Adult Grief Support Groups – In Person and Online
Keiki Care Package Program
Keiki Canoe Experience
Project Hoʻolana – Building Local Support for Grieving Keiki
For Facilitators and Aspiring Facilitators
Become a Facilitator
Attend a Monthly Facilitator Enrichment Zoom
Online Facilitator Training – Free
Apply for Facilitator In-Person Intensive Training – Free
How You Can Help
Volunteer Opportunities
Volunteer Application
General Volunteer Zoom Meeting
Background Check Application
Join in Community Roundtable Discussion
Keiki Care Package Program
Donate
In-Kind Donation Form
Resources
Maui Fire Relief Resources
Grief Support Resources
Adult Grief Support Groups – In Person and Online
Social Security Survivors Benefits – How to Apply
Videos
Download our Flyer
Newsletter Archive
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Press
Press Videos
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Contact Us
Staff Forms
School Intake Checklist
Name of School
Contact 1 Name
First
Last
Email
Phone
Contact 2 Name
First
Last
Contact 2 Email
Contact 2 Phone
Can you tell us what you see going on in the school and how we could be helpful?
Will more than one group per week be needed based on age differences or number of children?
Yes
No
How many separate groups per week?
Click the plus icon next to list to include multiple group requests.
Time slots for NKOE sessions
Day of Week
Time of Day
Duration
Add
Remove
Estimated number of participants
Number of school personnel
Number of children
Grade Level
Add
Remove
Who will provide parent/guardian permission slips to participant?
School
NKOE
What NKOE services are requested?
Professional development workshop for school personnel
Six session program for children
Alternative duration of program
School alternate proposal of services
Other Issues
Is there a mask policy?
Emergency Proceedure?
Who is in charge for any issues?
Add
Remove
Intake Coordinator Private Notes - Observations
Check list completed
MM slash DD slash YYYY
Name Intake Coordinator 1
(Required)
Name
Position or Job TItle
Add
Remove
Name Intake Coordinator 2
Name
Position or Job TItle
Add
Remove
I am not a robot - Please answer 9 + 2 before submitting
(Required)
11
98
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