First Name:

Last Name:

Address:

Email Address:

Primary Phone:

Emergency Contact Name:

Emergency Contact Phone:

Skills and Qualifications:

Work Experience:

Why do you want to volunteer with OKaZHI?

What volunteer opportunities are you looking for with OKaZHI? (Select all that apply.)
Health care educationProject and program developmentFundraising and special eventsMarketing and communicationsBoard of DirectorsVolunteer EngagementGovernanceFinanceOther (please specify below in the field)

How did you hear about OKaZHI?
Friend/Family MemberNews ArticleSchoolSocial Media

Do you consent to receive email correspondence from OKaZHI about upcoming events and volunteer opportunities?
Yes

To be eligible to volunteer with OKaZHI you are required to have membership status. After submitting this form you will be redirected to the membership payment page.

Δ