Kupu ʻĀina Corps Program (KAC)

HOST SITE APPLICATION FORM

Mahalo for your interest in applying to be a Kupu ʻĀina Corps (KAC) host site! This program was created to provide paid, career building experiences for young adults in sustainability related professions. Kupu's objective with the KAC program is to increase the capacity of the Hawaiʻi green jobs sector by supporting emerging and resilient green industries. By participating as a host site, organizations can increase their capacity at a highly subsidized rate through staffing resources provided by Kupu. Please read the full description of this program at our website.

If you have any questions, please contact us at (808) 735-1221 or via email at kac@kupuhawaii.org.

*Before filling out this application, please make sure you have performed all updates on your web browser.

Host Site Information & Requirements

Sites may host one or more individual participants.

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 direct supervisor at your organization needs to submit their own application form.

You are required to submit an Emergency Action Plan with this application. A sample or template you may view as an example can be found here.

After completing this application, selected sites will need to sign a Master Agreement and Statement of Work Addendum to proceed with this Kupu program.

I have read, understood, and can meet the host site description and requirements written here and on the Kupu website .

(Initial)

Program Application Deadlines

The Kupu ʻĀina Corps host site application is closed to the public as of 11/1/25. Please email programadmin@kupuhawaii.org prior to submitting an application.

Organization & Site Information

Name of Organization or Agency:

Begin typing and the list will filter the names.

Note: You must select an Organization from the list.
If you are a new organization or agency please select "Other"
and you will be prompted to enter your Organization name.

Account Record ID

used with dataset

Organization's Full Legal Name:

If you are a federal agency, please contact us at kac@kupuhawaii.org.

Is your organization a subsidiary of another entity or agency? If so, please tell us the name of the Lead/Parent Organization:

e.g., Department of Land & Natural Resources, Department of Education, U.S. National Park Service, U.S. Fish and Wildlife

Organization Category:

Island where participant(s) will be based:

If other, please specify:

Host Site Program/Department/Location Name:

Enter the PROPER NAME of the specific program, section, or site where Kupu participants will serve (e.g., Visitor's Center, Kaua'i National Wildlife Refuge, Sea Urchin Hatchery, Kawainui Baseyard).

What is the physical location (e.g., baseyard, office) where the participant(s) will be spending most of their time? If you are unable to provide the address, you must enter the GPS coordinates, mile marker, or tax key number.

Enter the 5 digit ZIP code of the address or location you wrote above.

If Kupu needs to send gear or supplies for the participant(s), please enter a staff name and mailing address for where those items should be sent.

Have you previously hosted a participant from Kupu?

YesNo

Does your host site utilize Altres for Human Resources issues?

YesNo

Program Duration & Schedule

The KAC program allows for 6 or 12 month term durations, as well as full-time or part-time schedules. From the options below, please select the program length and weekly hours your site would like to offer to participants. If you cannot commit to a particular schedule, please do not select it.

12 months full-time (40 hours/week)12 months part-time (20 hours/week)6 months full-time (40 hours/week)6 months part-time (20 hours/week)Seasonal lasts for 6 months, and Year Long for 11 months

Primary Point of Contact for Organization

Organization POC (Full First Name)

Organization POC (Full Last Name)

Preferred Name

Position Title

Work Email

You must use this individual's direct work email address. Do not use a group email used by multiple staff for your organization.

Office Phone Number

Cell Phone Number

Address (Line 1)

Address (Line 2, if applicable)

City

State / Province / Region

Postal / Zip Code

Country

Does the Primary Org Contact have any additional roles like Direct or Backup Supervisior, Finance Contact or Master Agreement and Scope of Work Signer?

YesNo

Which Ones? (select all that apply by holding down the Ctrl key)

Which authorization level does the Organization POC have for approval of the participant's time sheet?

Would the Organization POC like to receive participant recruitment updates from Kupu’s Recruiting Team via email?

YesNo

Direct Supervisor's Contact Information

Direct Supervisor (Full First Name)

Direct Supervisor (Full Last Name)

Preferred Name

Position Title

Email

You must use this individual's direct email address. Do not use a group email used by multiple staff for your organization.

Office Phone Number

Cell Phone Number

Will the Direct Supervisor be available to host and oversee all requested individual participants for the entirety of the designated program timeframe? Please explain any conflicts and ensure the contact information for the Back-Up Supervisor is provided below.

Which authorization level does the Direct Supervisor have for approval of the participant's time sheet?

Does the Direct Supervisor have any additional roles like Finance Contact or Master Agreement and Scope of Work Signer?

YesNo

Which Ones? (select all that apply by holding down the Ctrl key)

Would the Direct Supervisor like to receive participant recruitment updates from Kupu’s Recruiting Team via email?

YesNo

Backup Supervisor

Do you want to enter a Back Up Supervisor??

YesNo

Back-Up Supervisor's Contact Information

Back-Up Supervisor (Full First Name)

Back-Up Supervisor (Full Last Name)

Preferred Name

Position Title

Email

You must use this individual's direct email address. Do not use a group email used by multiple staff for your organization.

Office Phone Number

Cell Phone Number

Does the Primary Org Contact have any additional roles like Finance Contact or Master Agreement and Scope of Work Signer?

YesNo

Which Ones? (select all that apply by holding down the Ctrl key)

Which authorization level does the Back-Up Supervisor have for approval of the participant's time sheet?

Would the Backup Supervisor like to receive participant recruitment updates from Kupu’s Recruiting Team via email?

YesNo

Finance Contact for Organization

Finance Contact (Full First Name)

Finance Contact (Full Last Name)

Preferred Name

Position Title

Email

You must use this individual's direct email address. Do not use a group email used by multiple staff for your organization.

Office Phone Number

Cell Phone Number

Address (Line 1)

Address (Line 2, if applicable)

City

State / Province / Region

Postal / Zip Code

Country

Does the Primary Org Contact have any additional roles like Master Agreement and Scope of Work Signer?

YesNo

Which Ones? (select all that apply by holding down the Ctrl key)

Would the Finance Contact like to receive participant recruitment updates from Kupu’s Recruiting Team via email?

YesNo

Master Agreement/SOW Contact Information

MA/SOW Contact (Full First Name)

MA/SOW Contact (Full Last Name)

Preferred Name

Position Title

Email

Office Phone Number

Cell Phone Number

Address (Line 1)

Address (Line 2, if applicable)

City

State / Province / Region

Postal / Zip Code

Country

Which Roles does this contact hold?
(select all that apply by holding down the Ctrl key)

Would the MA/SOW Contact like to receive participant recruitment updates from Kupu’s Recruiting Team via email?

YesNo

Host Site Contract Information

What is the official name or title that should be written in the Master Agreement (MA) and Statement of Work Addendum (SOW) contracts for your organization/site if you are selected?

Your entry here will be auto-populated into these documents, so please verify their accuracy and spelling before submitting your application.

Describe any specific requirements for your organization in regards to the signing of the MA & SOW contracts. If there are no special requirements, write N/A.

How should payments be handled?

Work ContractInvoicePurchase OrderOther

If you selected other, please specify:

How many Participants and Position Titles?

Please provide Kupu with the position description details for each role being offered to the participants. Please note that the number of participants you request cannot be guaranteed. Positions that exceed 20 hours of work per week are considered full-time.

IMPORTANT: The Direct Supervisor will need to be the same for all position descriptions for the individual participants requested at your site. If there will be different supervisors per participant/position description, please fill out additional host site application forms for your organization/site.

In total, how many participants would you like to host at your site? All must be supervised by the same direct supervisor. Please note that the number you request cannot be guaranteed.

You have requested to host more than one participant. Will all of the participants at this site have the same position title, description, and requirements? If not, how many position titles will you offer? Note that the Direct Supervisor will still need to be the same individual.

Yes, we will offer only one position titleNo, we will offer multiple position titles

How many different position titles?

Position Description

Due to data limitations, please do NOT use rich text formatting (i.e., bullet points) in your responses.

1. Position Title:

Type of Position

How many participants would you like to host for this position?

Do not combine full and part time work. Please enter a second Position Description to separate them.

At what hourly rate will the participant working under this position title be paid?

$20 per hour

2. Responsibilities and Duties: Provide a brief description of the role, how it fits into the overall organization, and what success in the position looks like. Include how many of your requested participants this PD would apply to, as well as the essential duties required to carry out this position, in order of importance.

3. Qualifications: List the qualifications that would be beneficial for someone to fill this position. Include the level of experience required (i.e., entry level, some experience required, degree required).

5. Site Environment: Will the participant primarily work in an outdoor or indoor setting?

OutdoorIndoor

Will this position be performed remotely (i.e., the participant will work from home)?

Yes, position will be performed remotely.No, position will not be performed remotely.

Describe the typical setting and anything that stands out such as extreme weather or terrain.

6. Will the participants be required to camp for any period of time?

YesNo

7. General Schedule: List the typical hours and days, field schedule, and when camping may be involved.

9. Hourly Schedule: Enter the typical working hours for this position for each day of the week. Use a 12-hour clock format (e.g., 8:00 AM – 12:00 PM, 1:00 PM – 5:00 PM). Each day has two sets of "in" and "out" times to allow for an unpaid lunch break.

	Time In:	Time Out:	Time In:	Time Out:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

10. Supervision & Training Provided: Explain the level of supervision and the mentorship the individual in this position will receive. During the course of the program, will the participant gain any new skills that will increase their prospects of employment? List any certifications, trainings, professional development opportunities, workshops, etc. that will be provided by your site.

11. Do you have anyone you would like to offer this position to? If possible, please list their full name.