Steps for Lahaina

Educator & Coach Grant Application

Supporting the Human Pillars of Lahaina Town

Financial grants and support programs administered by Steps for Lahaina are strictly reserved for active or returning teachers, school staff, and athletic coaches serving students in the Lahaina Town burn zone (public and private schools). All information provided will remain strictly confidential.

Personal

Employment

Housing

Programs

Statement

Section 1: Personal & Household Information

Full Legal Name*

Preferred Name / Alias

Date of Birth

Primary Phone Number*

Primary Email Address*

Pre-Fire Address (Lahaina)

Street Address

City

Zip

Current / Temporary Residence

Street Address

City

State

Zip

Household Details

Total Household Members

Dependents (Children / Elders)

Spouse / Partner Name

Your application is encrypted and confidential. Only authorized Steps for Lahaina reviewers will have access to your information.