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Conservation Leadership Development Program (CLDP)

2022-23 MEMBER APPLICATION FORM

INSTRUCTIONS

1. All applicants MUST READ the program requirements for the position they are applying for below. If you have questions about your eligibility, please email or call us.

CLDP 2022-23 Participant Position Description

3. Please read the Things to Consider fact sheet and review the list of previous CLDP host site partners before applying to the program.

3. Click "Next Page" to continue. You can save your application and return to it later using the "Save my progress" link at the top or bottom of any page.

4. When finished, click "Submit". You will need to complete your electronic signature on the Final Review page, and then verify it via an emailed link.

5. After you have finished, your references will automatically receive an email with a link to complete their reference form. We advise you to submit your application early in order to give your references time to submit their forms.

6. Lastly, call or email Kupu staff to confirm that all parts of your application, including both reference forms, have been received before the deadline.

Your application will be considered incomplete until all parts have been received. If you have any questions, please contact us at (808) 735-1221 ext. 2002 or conservation@kupuhawaii.org.

I certify that I have read & understood the instructions and Position Description, and can meet all commitments and requirements.

(initial)

The application will remain open until all positions are filled. See the Position Description link for program dates and timeline.

CLDP Term Selection

Important: You may select more than one Conservation Leadership program term to apply for. Please make sure you have read the position descriptions for each, as the benefits, locations, term length and start dates vary. Please note, your references will also be required to fill out a reference form for each term you select.

Program Dates & Term Types Available:

CLDP 2022-2023, Winter start: Year Long - Full Time Term (40 hours/week) for ~11 months:

January 16, 2023 – December 1, 2023 (O’ahu)

January 30, 2023 – December 15, 2023 (Neighbor Islands)

February 13, 2023 – December 29, 2023 (Later Start, US Pacific Territories and Hawaiian Islands)

CLDP 2022-2023, Winter start: Seasonal - Half Time Term (40 hours/week) for ~6 months:

January 16, 2023 – July 1, 2023 (O’ahu)

January 30, 2023 – July 15, 2023 (Neighbor Islands)

February 13, 2023 – July 29, 2023 (Later Start, US Pacific Territories and Hawaiian Islands)

Select the program term(s) you would like to apply for and can commit to attending. If you cannot commit to a term, please do not select it.

CLDP 2022-23: Year LongCLDP 2022-23: Seasonal

Since you selected both terms, which term is your first choice if you are selected for the program?

Year LongSeasonal

Contact Information

Full Legal First Name

Your Legal First and Last Name should be identical to the one that appears on your federal government issued Photo ID (i.e., driver’s license, state ID, US passport, Lawful Permanent Resident card).

Full Legal Last Name

Middle Name

Preferred Name (optional)

Email Address

*Ensure you have entered this email address correctly!

Is your primary phone number U.S. based or international?

U.S.International

Primary Phone Number

Primary Phone Number - International

Use the following format: + Country Code, Area Code, Phone Number

Primary Phone Number Type

Secondary Phone Number

Secondary Phone Number Type

Mailing Address (Line 1)

Mailing Address (Line 2, if applicable)

City

State

Zip Code

Country

Is your home address different from the address you entered above?

YesNo

Permanent Home Address (Line 1, enter only if different from Mailing Address above)

Permanent Home Address (Line 2, if applicable)

City

State

Zip Code

Country

Applicant Details

Date of Birth

Citizenship Status

If other, please specify:

What is the highest level of education you have completed?

Name of most recently attended (or current) school:

Field of study (if applicable):

In which U.S. state did you graduate high school?

Have you ever received an AmeriCorps Education Award (e.g., from AmeriCorps NCCC, AmeriCorps State, or VISTA) or will you receive one by the start of this program?

YesNo

Enter the number of Education Awards you have or will have received for each type of AmeriCorps term you have participated in. Enter "0" if not applicable.

[For example: If you participated in the HYCC Summer program and received one Education Award, enter "1" in the MTT # Ed Awards Received.]

	# Ed Awards Received
Minimum Time Term (300 hours)
Quarter Time Term (450 hours)
Half Time Term (900 hours)
Full Time Term (1700 hours)
Total

What is the name of the organization(s) that you have or will have received your Education Award(s) from?

Referral Source

How did you hear about this opportunity?

Please provide additional details on how you heard about this opportunity (i.e., newspaper name, specific career fair, specific website). If you were referred by someone, please share their name here.

Position Preferences

Important: Choose three types of positions that interest you most, in order of preference. Your answers are important as they will help us match you with the appropriate host sites. Please do not repeat or duplicate your answers.

A written description of each type of position can be found here.

Type of Position - 1st Choice

Type of Position - 2nd Choice

Type of Position - 3rd Choice

Are you interested in a specific host site? If yes, please specify the site (i.e., The Nature Conservancy, Division of Forestry and Wildlife, U.S. National Park Service). Note that placement at a site is not guaranteed even if listed. Your application may also be sent to other host sites at the discretion of Kupu's coordinating staff.

Would you be able to camp outdoors Monday through Friday if necessary?

YesNo

Short Answer Questions

1. Why are you interested in this position? Describe what you hope to gain from this program, your expectations, and your goals after completion. (max character limit: 4000)

2. Is there anything which could hinder your successful completion in this program? If yes, please explain. (max character limit: 2000)

Please indicate your experience level in the following areas:

	No Experience	Little Experience	Moderate Experience	Extensive Experience
Aquatic resource management
Fence maintenance
GIS/GPS
Invasive plant removal
Invasive animal removal
Sustainable agriculture
Trail restoration
Watershed management
Native species restoration
Native Hawaiian cultural stewardship

Resume and Two References

Important: Your application will be considered incomplete until we have received your resume and BOTH reference forms. It is your responsibility to check with our program staff that these have been submitted.

Are you applying to multiple CLDP terms or other Kupu programs? If you are using the same references for your applications, they will need to fill out separate forms for each program or term you submit. Please let them know in advance that they will be receiving multiple emails with a different web link for each program application or CLDP term.

Guidelines for selecting references: Use professional references from individuals that have known you for at least three months (e.g., teacher/professor, coach, employer, leader from a group you have volunteered with). References cannot be immediate family members or close friends. The individuals you list should be able to speak to your personal and professional attributes. Misspelling or putting the wrong reference email address may significantly delay your application. Please verify that you have entered them correctly.

If you have any questions, please contact us at 808-735-1221 ext. 2002 or conservation@kupuhawaii.org

Attach your resume (We will only accept PDF or Word documents.)

Reference #1's Full Name

Reference #1's Phone Number

Reference #1's Email Address

*Ensure you have entered this email address correctly!

Reference #2's Full Name

Reference #2's Phone Number

Reference #2's Email Address

*Ensure you have entered this email address correctly!

Please Read Before Signing

I understand and confirm that, if selected...

1. I am responsible for traveling to the island that I am selected for to begin my program term. Neither Kupu nor the host site is responsible for any travel or relocation expenses.

(initial)

2. I must be available Monday through Friday during my program term, and be able to participate in potential late night, early morning and/or weekend (or holiday) activities.

(initial)

3. I must be able to safely perform the physical and mental duties of my position which may include long hikes, remote camping, and using heavy tools and equipment.

(initial)

4. I must submit copies of a current government-issued Photo ID and a Birth Certificate. I acknowledge that fingerprints will also be obtained for state and federal criminal history checks.

(initial)

I am at least 18 years old.

YesNo

Since you are under 18, you must inform your parent or legal guardian that you have applied to this program BEFORE you submit your application AND get their permission. You must also provide their contact information below.

Full Name of Parent or Legal Guardian (if under 18)

Parent or Legal Guardian's Phone Number

Parent or Legal Guardian's Email Address

*Ensure you have entered this email address correctly!

I certify that my statements in this application are true and correct to the best of my knowledge.

(initial)

In accordance with Federal Law, Kupu is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. Qualified applicants with disabilities who can perform the essential functions of the position are encouraged to apply. Kupu is committed to making reasonable accommodations on a case-by-case basis. To become more sustainable, Kupu will send digital notifications regarding your application status. If you prefer physical copies, please contact us.

Save my progress and resume later | Resume a previously saved form

Conservation Leadership Development Program (CLDP) 2022-23 MEMBER APPLICATION FORM

Conservation Leadership Development Program (CLDP)

2022-23 MEMBER APPLICATION FORM