"OHANA!" Program Registration Form:

Items marked with an asterisk are required.

First Name:*
Last Name:*
Phone Number:*
E-mail:*
Z-id:*
Major:*
Year in School:*
Gender :* MaleFemale
Ethnicity:(optional)
Why you want to be the part
of the "OHANA!" Program?*
Please write two goals you want
to accomplish this semester?*
Please indicate what committee(s) you
want to join:

(please indicate at least 1)
Cultural Education
Peer Mentor Program
Marketing
Leadership
Public Relations & Outreach
Are you interested in an Internship? YesNo
Are you interested in volunteering
at the center?
YesNo