OOTA Membership form Student

First Name:
Last Name:
Address First Line:
Address Second Line:
City:
State:
Zip:
Home Phone Number:
Email Address:
Fax Number:
School affiliation
Expected Year of Graduation

OOTA Volunteer Interests: Check all that apply:

Community Promotion of OT Leadership Development
Professional Promotion of OT

Newsletter Development/Article Writing
  Reimbursement for OT Nominations/Recognitions Committee
Membership Committee Facilitate a workshop on
Finance (Fundraising) Committee Assist with meeting registration/set up
Annual Conference Continuing Education Committee

Please indicate any way that you would like to be involved in OOTA for the coming year, for example: Helping with Annual Conference, membership drives, etc.

When you submit this form the information will be forwarded to OOTA. You will be redirected to a page where you will submit payment information. 

Oklahoma Occupational Therapy Association
PO Box 2602 Oklahoma City, OK 74101-2602
(918) 231-1300
Contact OOTA
Updated April 03, 2008