Consent Release Forms

From DHS to BTH

ctanger — Wed, 10 Jun 2026 18:39:49 +0000

Consent to Release Information from DHS to BTH

This form gives the Department of Human Services (DHS) permission to share approved information with Bridge to Hope (BTH). This helps BTH confirm eligibility, coordinate support, and assist with First-to-Work participation requirements.

Consent Release FROM DHS to BTH Download

Need Help Saving or Sending a PDF?

��Ƶ the PDF Help Page for step-by-step instructions on downloading, saving, completing, signing, and emailing forms.

View PDF Help Page BTH Campus Contacts Email BTH

Stay connected with Bridge to Hope updates, student stories, and program information.

��Ƶ Bridge to Hope Statewide Coordinator
Derek Galanto
2600 Campus Road | Honolulu, HI 96822 | QLCSS 211
(808) 956-9313 | bth@hawaii.edu
Last Modified: July 2026

From BTH to DHS

ctanger — Wed, 10 Jun 2026 18:33:38 +0000

Consent to Release Information to DHS

This form gives Bridge to Hope (BTH) permission to share approved information with the Department of Human Services (DHS). This helps DHS verify participation, coordinate First-to-Work requirements, and support continued services.

Consent Release Info To DHS Regarding BTH Download

Need Help Saving or Sending a PDF?

��Ƶ the PDF Help Page for step-by-step instructions on downloading, saving, completing, signing, and emailing forms.

View PDF Help Page BTH Campus Contacts Email BTH

Stay connected with Bridge to Hope updates, student stories, and program information.

��Ƶ Bridge to Hope Statewide Coordinator
Derek Galanto
2600 Campus Road | Honolulu, HI 96822 | QLCSS 211
(808) 956-9313 | bth@hawaii.edu
Last Modified: July 2026

Consent Release Forms

From DHS to BTH

Consent to Release Information from DHS to BTH

Need Help Saving or Sending a PDF?

Follow Bridge to Hope

From BTH to DHS

Consent to Release Information to DHS

Need Help Saving or Sending a PDF?

Follow Bridge to Hope