HIPHI Perspectives Trip: Host Request Form
Hawai‘i Public Health Institute (HIPHI) invites organizations to submit a request to host a Perspectives on Community Health trip, through which we create opportunities to network, learn, exchange ideas and accelerate familiarity and trust between individuals and organizations toward achieving our common goals.

Perspectives on Community Health trips are an opportunity for people working on public health issues to step out of regular routines and join peers on visits to unique and important organizations to learn about their work and their approach to community health. Trips may take place on any island on a weekday or weekend, and typically last for three to five hours with activities ranging from walking tours to hands-on service projects.

Benefits to host organizations include increased awareness of and involvement with your programs and free publicity about your work and the event through HIPHI’s event calendar, blog, and story map.

HIPHI is a non-profit hub for health, bringing community-based organizations, government, academia, foundations and business together to improve the quality of life for the people of Hawai‘i. Building healthier communities requires collaboration on a variety of issues that impact health, including transportation, education, access to healthy food, and economic opportunities. And collaboration is what we do best.

For questions, please contact contact@hiphi.org or (808) 591-6508 ext 9, then ext 4. For more information visit https://www.hiphi.org/perspectives.

Organization Name *
Your answer
Organization/Program Description *
Your answer
Contact Person (first and last name) *
Your answer
Phone Number *
Your answer
Email *
Your answer
Physical Address (for the event) *
Your answer
Description of the Visit/Event/Activity *
Your answer
Maximum Number of Participants
Your answer
Minimum Age of Participants (if applicable)
Your answer
Do you require participants to sign a liability waiver that you provide?
Is there a cost involved?
What is the cost (if applicable)?
Your answer
Is lunch provided as part of the event? If so, what is the cost?
Your answer
Required Footwear & Clothing for Participants
Your answer
List of Items for Participants to Bring
Your answer
Driving Directions
Your answer
Parking Information
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Relevance to Public Health
Your answer
Why are you interested in hosting a Perspectives on Community Health trip in partnership with HIPHI?
Your answer
Possible Event Dates
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Proposed Start and End Times for the Event
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Other Comments/Questions
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