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 screening authorization, youth consent, secure delivery, and data privacy safeguards. Nothing entered is sent or saved. Do not enter real personal information 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.

Choose your UCAN application

Select an application type to view the appropriate form. Adults and youth have separate enrollment and consent requirements.

Application type *

Choose an application type. Online applications are unavailable until our secure submission service is activated.

Start here — how many adults are applying?

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.

Applicant 1 — Applicant information

Legal first name *

Full legal middle name (if any)

Legal last name *

Preferred name (optional)

Date of birth *

Required for screening and identity verification. Submitted data is handled according to UCAN’s Privacy Policy.

Previous legal names or other names used (if any)

Email *

Phone *

Oklahoma county *

City/community *

Preferred contact method

I certify that each adult applicant is a legal resident of Oklahoma.

Background screening requires a separate, informed authorization for each adult. UCAN may use public registries and, with appropriate authorization, screening providers. Results will be reviewed by authorized personnel. Applying does not guarantee membership.

Applicant 1 — 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.

Applicant 1 — Participation interests

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

What motivates you to volunteer with UCAN? *

Applicant 1 — 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)

Military, public service and volunteer experience

Have you served in any of these areas? (Optional)

Service branch, agency, role, years and relevant training (optional)

Applicant 1 — Availability and service preferences

Typical availability *

Preferred travel distance *

Participation preferences or logistical limitations (optional)

Applicant 1 — 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)

Personal or professional references

Please list two people who can speak to your character or reliability, preferably not members of your household. Ask their permission before providing their contact information.

Reference 1 — full name

Reference 1 — phone or email

How do you know reference 1?

Reference 2 — full name

Reference 2 — phone or email

How do you know reference 2?

Each adult in a household application should provide their own references.

Applicant 1 — 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.

Applicant 1 — Agreements and youth participation

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.

Primary adult: type full legal name to acknowledge application and screening notice *

This acknowledgment permits UCAN to review public registries and court records for membership screening. A separate authorization may be required for third-party background reports.

Applicant 1 — Required authorization and privacy acknowledgmentI authorize UCAN to perform appropriate criminal-history and sex-offender-registry screening for membership review. I understand a separate provider-specific authorization may be required.I have read the UCAN Privacy Policy, including the limitations of internet and electronic storage security.I certify that the information I have supplied is true and complete to the best of my knowledge.I understand that submitting an application does not guarantee membership, deployment, or participation.

Shared household membership dues

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.

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

Online age restriction: Until UCAN implements a verified parental-consent procedure, this online form is for applicants ages 13–17 only. For children under 13, a parent or guardian should contact membership@ucanok.org without sending the child’s details.

UCAN Kids application — parent/guardian participation required. A parent or legal guardian must be present to complete this application with the minor. UCAN will telephone the parent/guardian to verify permission. Enrollment does not authorize deployment or unsupervised activities. A separate signed parent/guardian consent and liability waiver must be completed and verified before participation.

1. Youth applicant

Youth legal first name *

Legal middle name (if any)

Youth legal last name *

Date of birth *

The youth must be under 18 to use this application.

City / community *

Oklahoma county *

We do not request a youth's independent phone number, identity documents, or Social Security number on this website.

I certify that the youth applicant is a legal resident of Oklahoma.

2. Parent or legal guardian

The parent or legal guardian must complete this section and be available for a confirmation telephone call from authorized UCAN personnel.

Parent / guardian full legal name *

Relationship to child *

Parent / guardian phone number (required for verification) *

Parent / guardian email address *

Preferred times for verification call

Alternate parent/guardian phone (optional)

UCAN will call the parent or guardian at the number provided to verify authorization. An online signature or checkbox alone is not proof of legal guardianship or final permission.

3. UCAN Kids interests

Check activities the youth is interested in. Actual activities depend on age, supervision, training, and UCAN approval.

Preparedness and weather safety education Community service and outreach Animal welfare education Communications and radio learning Fundraising and community events Other supervised youth activities

Why would the youth like to join UCAN Kids?

Typical availability

4. Youth safety and consent

No dues: There are no UCAN membership dues for anyone under 18. UCAN Kids activities are supervised and separate from unrestricted adult field operations.

I am the youth's parent or legal guardian and I am completing this application together with the youth. I authorize UCAN to contact me using the phone number provided to verify my permission. I understand a separate signed parent/guardian consent and liability waiver is required before the minor participates. I understand application submission does not guarantee acceptance, membership privileges or participation. I confirm the information I provided is accurate to the best of my knowledge. I acknowledge the UCAN Privacy Policy.

Parent / guardian full legal name — electronic acknowledgment (preview only) *

This typed acknowledgment does not replace UCAN's separately signed consent and liability waiver or its phone verification procedure.

Date

Age/privacy safeguards: For children under 13, UCAN must establish an appropriate verified parent/guardian consent process before collecting personal information online. Until then, the parent or guardian should contact membership@ucanok.org without sending the child's details.

Preview only. Nothing entered is sent or saved. Please do not enter actual information during review.

Think you can’t help? UCAN.

Choose your UCAN application

UCAN Kids — Under Age 13

Military, public service and volunteer experience

Personal or professional references

Applicant 2 — Complete individual application

Military, public service and volunteer experience

Personal or professional references