Unified Citizen Action Network

Think you can’t help? UCAN.

Every dependable volunteer brings something valuable.

Complete the UCAN Membership & Volunteer Application below to tell us how you would like to contribute to Oklahoma communities.

Application preview — submissions not yet open. UCAN is finalizing background-screening consent, privacy safeguards, secure delivery, and individual authorization for household co-applicants. Information entered here is not transmitted or saved. Do not enter real birth dates or personal details while this is a preview.

UCAN is an independent, private nonprofit citizen organization. Applying does not guarantee acceptance, appointment, training, credentials, deployment or participation in any activity. Applicants under 18 require additional parent/guardian approval and a separately signed liability waiver before participation; the online application is not that waiver.

1. Applicant information

Legal first name *

Full legal middle name (enter “None” if none) *

Legal last name *

Preferred name (optional)

Date of birth *

Required for identity verification and screening. This draft does not transmit or save the date entered.

Previous legal names or other names used (if any)

Email *

Phone *

Oklahoma county *

City/community *

Preferred contact method

2. Household membership application

Adult membership dues cover up to two applicants age 18 or older residing in the same household. Both adults must provide their own application information, complete required screening, and be individually approved. Household dues are not charged separately to each adult.

Number of adult applicants from your household *

A minor applicant does not require adult household dues and must follow the youth consent process.

4. Previous states of residence — screening history

List every U.S. state in which you have lived, including Oklahoma, with approximate years. Include out-of-state residence even if brief. You do not need to provide street addresses. If you have lived outside the United States, list the country and approximate years. If you have never lived outside Oklahoma, enter Oklahoma and the years.

State(s) / country and approximate date ranges *

I have listed all states and countries where I have lived to the best of my knowledge.

UCAN may request additional identifying details using a separate secure process if necessary to distinguish records belonging to people with similar names.

5. Participation interests

Choose all that apply. Interests are not assignments or qualifications.

What motivates you to volunteer with UCAN? *

6. Experience and training

Relevant skills, work or volunteer experience (optional)

Radio licensing (optional)

Current training (optional)

Other qualifications you want us to know about (optional)

7. Availability and service preferences

Typical availability *

Preferred travel distance *

Participation preferences or logistical limitations (optional)

8. References and follow-up

References are optional at initial application. We may request them later only when relevant to a role, with appropriate notice.

Anything else you'd like UCAN to know? (optional)

9. Background screening notice

Safety screening: UCAN intends to conduct sex offender registry screening and criminal background screening for adult applicants before approving membership. Additional role-specific screening may be required for assignments involving children or vulnerable people. Youth applicants will follow a separate, age-appropriate review process with parent/guardian involvement. Any potential name match must be verified, and public registries are not comprehensive criminal-history databases.

Applicants will receive a separate screening disclosure and authorization, with any required parent/guardian consent and identity-verification procedures, before a background check requiring such authorization is obtained. This application preview itself does not authorize the purchase of a third-party background report.

Do not enter Social Security numbers, identification numbers, or scans of identity documents in this form.

10. Membership dues and payment options

UCAN charges household-based adult membership dues, covering one adult or up to two adults age 18 or older living in the same household. The fee is not per person.

Pay annually: $100 total for 12 months, covering up to two eligible adults in the same household.
Pay monthly: $10 per month per household for 12 months, totaling $120 annually; covers up to two eligible adults in the same household.
Dues waiver: UCAN may reduce or waive dues at its discretion. Waivers are not automatic.
Minors: No membership dues for applicants under 18. Youth participation still requires parental/guardian consent and a separate signed liability waiver.

No membership payment is collected when applying. UCAN will communicate acceptance and the applicable dues arrangement before payment. Both adults must be approved individually.

Preferred dues option (not a payment) *

I understand that adult dues are $100 annually when paid in full or $10 monthly ($120 over 12 months), cover up to two adults from the same household, may be waived at UCAN's discretion, and do not apply to minors.

11. Agreements and youth participation

I understand this application does not automatically grant membership, appointment, operational authority, or deployment privileges. I understand UCAN may contact me about this application and may ask for additional role-specific information or training. I confirm the information provided is accurate to the best of my knowledge. I have reviewed the UCAN Privacy Notice (to be updated before applications open).

Applicants under 18: A parent or legal guardian must give approval and sign UCAN's separate liability waiver before any participation. For applicants under 13, a parent or guardian should contact membership@ucanok.org instead of using this online form.

Preview only. Nothing entered here is transmitted or saved. Please do not enter real personal information while reviewing the draft.