OCC New Partnership Sign-up Form

What Subcommittee would you like to be placed on?

Legislative & Advocacy (Lobbying policymakers, organizing campaigns, and addressing challenges like transportation, legal, and financial matters)Respite (Raising awareness of resources, supporting caregivers, and maintaining financial/employment protections)Home Safety/Modifications/Health Care (Home safety assessments, assistive devices, healthcare services, and support)Grandparents and Other Relatives Raising Children (Providing support groups, tailored resources, and advocating for relevant policies and services)Membership, Communications & Outreach (Recruitment, communication strategies, fundraising, and promoting the coalition’s mission and initiatives)Caregiver Education & Supports (Educational programs, assistive technology, mental health services, employer policies, and workplace accommodations)

Thank you for completing the information to become an Oklahoma Caregiver Coalition partner. The OKCares.org home page offers a searchable resource directory to assist family caregivers in locating resources and services: https://okcares.org/ If you would like the opportunity for your organzation to be included in the directory, please indicate in the next section.
Are you interested in sharing your organization's resources on the OKCares website?

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Are you authorized to approve that your services/resource can be shared on the OKCares website?

YesNo
If you have already received approval from authorized approver please upload that approval here.

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Please provide the name, telephone number and email of the contact of the authorized person

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com

My Products

OKCares Annual Subscription$250.00

Your annual subscription allows for your organization's information to be placed on the OKCares.org website.

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Total $0.00

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Please select all that apply. If your programs/services are statewide, please select "statewide" from the drop down menu.
Additional / Other Information

Please press the orange Submit button on the bottom of the page. Thank you for your interest in Oklahoma Family Caregivers and becoming an Oklahoma Caregiver Coalition partner!
Please visit OKCares.org to find resources for individuals with special needs, family caregivers and providers.

Don't forget to follow OKCares on Facebook @OKCares4You!
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Oklahoma Caregiver Coalition Partner Form