OCC New Partnership Sign-up Form

What Subcommittee would you like to be placed on?

Advancement (Fundraising, grant writing, marketing)Advocacy (legislation and systems)Legal and Financial AssistanceTransportationRespiteHome Safety/Modifications/Health CareEmployer Engagement Caregiver InitiativePsychosocial Supports (mental health, counseling, support groups)Grandparents and Other Relatives Raising Children

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?

YesNo

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.

Browse Files

Cancelof
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.

Enter coupon

Total $0.00

Agency Logo

Browse Files

Cancelof
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!
Should be Empty:

Oklahoma Caregiver Coalition Partner Form