Application for Residency

Take the First Step

We are excited that you are considering joining our program. Your journey to a brighter future begins here.

What You'll Need

To apply for residency, please have the following information ready. This helps us evaluate your application and provide the best possible support for your journey.

  • Full Legal Name — Your complete legal name as it appears on ID
  • Phone Number — A valid number where we can reach you
  • Email Address — Your primary email for correspondence
  • Employer — Current employer name, if applicable
  • Clean / Sobriety Date — The date you began your sobriety journey

Ready to Begin?

Our online application takes just a few minutes to complete. Click below to access the form in Google Docs.

Once submitted, Lisa will reach out to you within 1–2 business days to discuss next steps.

Secure online form — takes about 5 minutes to complete.

What to Expect

1

Submit Application

Complete and submit the online application form with your information.

2

We Reach Out

Lisa will contact you within 1–2 business days to discuss your application and answer questions.

3

Welcome Home

Once approved, you'll be welcomed into the Noho Ola Kūpaʻa ʻohana and your journey begins.

Have Questions Before Applying?

We understand that taking this step can feel daunting. Our team is here to answer any questions you may have and to support you through the process.

Contact Us Call 808-264-0009
Noho'ola Kupa'a welcome
Apply Now