Team Kokua Giving Program

Employee First and Last Name*

Employee Email*

Employee Phone Number

Select which mission(s) your request serves (may select more than one in applicable)*

• Culture
• Education
• Environment
• Health and Human Services

Name of Organization*

Select which type of organization best fits you (select all applicable)*

• 501c3
• Community Based
• School
• Other

If other, please specify*

Has Hawaiian Airlines supported this organization in the past?*

• Yes
• No

How did the donation/support from Team Kōkua help this organization? *

Date Decision is Needed By*

Select the date your request is needed by. A minimum of 45 days is required for all requests.

Event Date(s)*

Select the date(s) of the event.

Location of Request*

Hawaiian Airlines is proud to serve the islands of Hawaii as well as the communities we fly to. Requests that do not support these communities will not qualify. Please select which Hawaiian Airlines gateway city community your request serves.

Select One Oahu - Honolulu, HI Hawaii Island - Hilo, HI Hawaii Island - Kona, HI Kauai - Lihue, HI Maui - Kahului, HI Maui – Kapalua, HI Lanai - Lanai City, HI Molokai - Hoolehua, HI Austin, TX Boston, MA Las Vegas, NV Long Beach, CA Los Angeles, CA New York, NY Oakland, CA Orlando, FL Phoenix, AZ Portland, OR Sacramento, CA San Diego, CA San Francisco, CA San Jose, CA Seattle, WA Auckland, New Zealand Sydney, Australia Seoul-Incheon, South Korea Pago Pago, American Samoa Papeete, Tahiti Fukuoka, Japan Tokyo-Haneda, Japan Osaka-Kansai, Japan Sapporo/Chitose, Japan

First Name*

Last Name*

Email Address*

Phone Number*

Affiliation with Organization*

Organization Website

Mailing Address*

Please select the type of donation you're requesting*

• Team Kokua Volunteers
• HawaiianMiles/Ticket Donation
• Cash
• Other (E.g. Golf Tournaments, Table Sponsorships, Logo Items, etc.)

Number of Volunteers*

Date Volunteers Needed*

Cash Amount*

If other, please specify*