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Kupu Logo

Hawaii Youth Conservation Corps (HYCC) Summer Program

 

2025 HOST SITE APPLICATION FORM


Mahalo for your interest in hosting an HYCC Summer Program (AmeriCorps) member!  HYCC Summer is one of several programs at Kupu aiming "to empower youth to serve their communities through character building, service learning, and environmental stewardship opportunities that encourage integrity (pono) with Ke Akua, self, and others."  Check our website for a full description of this program.

Please do not hesitate to contact us at (808) 735-1221 ext. 2001 or via email at hyccsummer@kupuhawaii.org with any questions. 

Instructions
IMPORTANT

If your organization only has one direct supervisor overseeing the requested participants, you may submit one application form.


If your organization is requesting multiple participants and they will be overseen by separate supervisors, each individual direct supervisor at your organization needs to submit their own application.  

  • Sites must be either a non-profit organization or a State/Federal agency, and must be able to provide participants with any necessary tools, sufficient conservation service, and educational experiences in the U.S. Pacific Islands or Hawaii's environment.
  • After completing this application, selected sites will need to sign a Master Agreement and Statement of Work Addendum to proceed with this Kupu program.  An example of these contract documents will be emailed to the Organization Point of Contact for review after the application form has been submitted.

(Initial)
Organization & Site Information









Please write the full PROPER NAME (e.g., Nualolo Kai, Na Ala Hele Trails and Access Program, Information and Education Program, Sea Urchin Hatchery, Maui Marine Program)








Primary Point of Contact for Organization

















Finance Contact for Organization

















Master Agreement Contact Information

















Statement of Work Addendum Contact Information

















Financial Information

Important:  If you are not processing payment through your organization/site, please indicate that and identify where the payment will be coming from in this section.

Note: Kupu processes all financial aid requests accordingly. Financial aid is limited and not guaranteed.











Background & Impact







7.  Categorize the approximate percentage of service this position will spend in each of the following categories.  The sum of your entries must total 100%.
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Site Details







Direct Supervisor's Contact Information











Backup Supervisor's Contact Information











How many Participants and Position Titles?

Please use this section to provide Kupu with the position description details for the participant(s) you would like to host at your site.



Position Title, Description and Requirements









Host Site Acknowledgments

Your site must acknowledge and agree to all of the written statements below.  Please read carefully.  These are required to process your application.