OHF YELP Application
Thank you for your interest in joining the Oxalosis & Hyperoxaluria Foundation Young Executive Leadership Program (YELP). If you are under the age of 18, please have your parent/legal guardian assist you in completing this form. If you are under the age of 18, your parent/legal guardian will need to provide signed participation permission upon your acceptance into the program. If you have any questions, please email taylork@ohf.org!
First name *
Last name *
First and last name of parent/legal guardian (if applicant is under 18)
Age *
Date of birth *
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Email address *
Email address of parent/legal guardian (if applicant is under 18)
Mailing Address *
Phone number *
Phone number of parent/legal guardian (if applicant is under 18)
I am a Hyperoxaluria *
What type of Hyperoxaluria do you or your sibling/relative/friend/etc. have? *
What previous involvement have you had in the OHF, if any?
Which areas are you most interested in exploring? Please select all that apply. *
Required
Please provide 1 to 2 paragraphs describing why you want to join the program. *
If you are under the age of 18, please have a parent or guardian check one of the boxes below.
Submit
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