Examiner Application EmailThis field is for validation purposes and should be left unchanged.Name(Required) First Last Employer Name?(Required)Job Title?(Required)Please provide us with a brief description of your job duties?(Required)Work Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Cell Phone(Required)Work Phone(Required)I have the availability and capacity to participate in each phase of the examination process, as follows:(Required)Examiner Training Pre-Work (April and May - 20 to 30 hours), Examiner Training (June - 16 hours), Application Evaluation (August and September - 80 to 100 hours), Site Visit Preparation (October - 12 to 16 hours), and Site Visits (November - 60 hours) Yes No I acknowledge the expense reimbursement policy for Examiners as follows: *(Required)OQF is a non-profit, 501(c)3 organization and as such, relies on the financial support of its community of supporters. For expenses incurred while serving as an OQAF examiner, we ask these to be reimbursed by the Examiner's employer if possible. Where that is not feasible, OQAF allows a maximum of $150 per day to Examiners for actual expenses incurred for meals, lodging or other travel related expenses - not otherwise provided by the applicant or by others - for Site Visit only. No honoraria are paid. Yes No By giving Oklahoma Quality Foundation your email and phone number, you will receive messages related to the services you are inquiring about today. Oklahoma Quality Foundation will not sell your information. Standard data rates and message fees may apply. You may opt-out of communications at any time. Would you also like to receive an occasional update, offer or news from Oklahoma Quality Foundation? * Yes, I'd like updates No, I do not want updates Your application must be submitted by June 1, 2022. Send the $350 application fee to: Oklahoma Quality Foundation, 10302 East 71st Street South #1050, Tulsa, OK 74133
