KUPUNA PROGRAM REGISTRATION
This intake form is being administered by Nourish Kauai, a community nonprofit 501(c)3, in partnership with other Kaua'i nonprofits and community organizations.
The purpose is to better understand community food needs and to identify kūpuna (elderly) who are in need of assistance. We are providing meal kits so that kūpuna in financial need are provided for and given nutritionally dense, locally sourced meals. Meal kits will have whole, raw ingredients, and will require cooking. We make an effort to have more difficult items such as sauces already made. Each person that qualifies for our program will receive a meal kit with raw groceries or ingredients, with an easy to follow recipe. Each week's meal kit serves 4-6+ servings and often has produce that can be used for recipes throughout the week.
Requirements of program:
✔︎65 years of age or older
✔︎Live in region between Anahola- Kalaheo (other organizations will be serving Kupuna in other areas of Kauai)
✔︎Live alone or with another Kupuna (will consider exceptions as needed)
✔︎Able to cook or have a caregiver able to cook
✔︎Max Household Income
- 1 in Household: $57,100
- 2 in Household: $65,250
- 3 in Household: $73,400
- 4 in Household: $81,550
It's important for grants and funders that we have an income requirement, to ensure that those most in true need benefit from our program. However, in our experience, there are often exceptions outside of strict eligibility that should be considered. In light of that, we will consider exceptions to our requirements on a case by case basis after an interview with the potential recipient. We want to ensure that all Kūpuna on Kaua'i have access to heathy food.
Funding for this program has been provided through generous donations from the Frank and Belinda VanderSloot Foundation and a grant from the Kūpuna Food Security Coalition (KFSC)!
Information provided will be used to coordinate meal delivery for the program length and for.This information will be kept strictly confidential and only nonspecific data will be used for grants funding purposes.
Filling out this form does not guarantee enrollment in our program. We do have a max limit of kūpuna we can serve. Once we receive your form, we will notify you of availability/eligibility and delivery details, as applicable.
• I relinquish Nourish Kauai and Nourish Kauai’s representatives and partners of any and all liability of any nature whatsoever and accept the food “AS IS” and at my own risk.
• There is no guarantee to the amount or type of food product given.
• Selling of food or products from boxes is prohibited
*Please note we are not able to accommodate allergies, but since items are uncooked you can substitute as needed, or leave items off of a recipe.