Volunteer Form - 2014 Event

RAM Oklahoma will host its third free-care event in the Oklahoma Expo Hall at the State Fairgrounds in Oklahoma City.

This sign-up page is for Dental and Vision volunteers only. All other volunteers should sign up through www.ramvolunteers.org.

As the event approaches, you will receive correspondence detailing what you need to know for the event.  Dental and Vision volunteers should be prepared to be on-site Saturday & Sunday by about 5:30 a.m. for morning shifts or 11:30 a.m. for afternoon shifts.

(If you have other time restraints, please list under "Notes.")  Thank you for helping!

Name and Contact

First Name:
Last Name:
Title:
Street 1:
City:
State:
Zip:
Home Phone:
(include area code: 555-555-5555)
Cell Phone:
(include area code: 555-555-5555)
Email Address:
Employer Name:

License/Specialty

If you are a health professional, list what license(s) you hold and in what state you hold it.
(If state is not Oklahoma, we will provide you a simple application for free volunteer licensure in Oklahoma.)

Type of Volunteer
*STUDENTS* please include year in school (1st, 2nd, 3rd, etc.) under "Notes"
License #
State of Licensure
Notes
Please include any extra information. *STUDENTS* please include year in school.
Languages
Please list any languages you speak other than English.

Dental & Vision Shift Selection:

Please choose the shifts for which you are able to volunteer. Please consider volunteering a full day or both days! (Care begins at 6 a.m. Saturday and Sunday. Friday set-up will begin in the afternoon. Shifts for dental and vision volunteers will overlap.)
Dental & Vision Shift(s)

Please consider signing up for a full day! (Saturday morning is full.)

Friday, August 15 (general volunteers needed for set-up)
Sunday, August 17 (6 a.m. - Noon)
Sunday, August 17 (11:30 a.m. - 6 p.m.)

I will show up!

I agree to attend on the day(s) I specified. If I will not be able to attend, I will contact RAM Oklahoma ahead of time at either 405-410-5411 or Sullivan@ramok.org. (RAM Oklahoma will contact you prior to the event with directions and other information.)

I agree
Future Events
Would you like to stay updated about future RAM events?
Yes
No