OCCHA's Active Membership Application
Thank you for your interest in becoming an active member of OCCHA! Please fill out this form in order to complete your application. If the question does not apply to you, please input N/A in the answer box. The final decision regarding your membership status will be sent out after OCCHA's Executive Board have reviewed your application.
First name *
Your answer
Last name *
Your answer
Nick name
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
City, State and ZIP code *
Your answer
Email *
Your answer
Phone number *
Your answer
Phone carrier (i.e. T-mobile) *
Your answer
Is it okay for OCCHA to send you our emails via text messages? *
Are you currently in school? *
If yes, where? *
Your answer
Cumulative GPA (OPTIONAL)
Your answer
Field of Study *
Your answer
Career Goal *
Your answer
Why do you want to join OCCHA? *
Your answer
List any special skills and qualities you have that would benefit our active volunteer program: *
Your answer
Do you have any volunteer experience? *
If yes, please describe your volunteer responsibilities. *
Your answer
Do you have any work experience? *
If yes, please describe your work responsibilities. *
Your answer
Do you have any leadership experience? *
If yes, please describe your leadership responsibilities. *
Your answer
Languages Spoken *
Required
How did you hear about our active volunteer program? *
Required
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