Membership Registration Form

Member information

First Name*

Last Name*

Email*

Phone*

Home Address / Neighborhood*

Helps AKDOI understand demographic reach and assign members to local chapters.

ZIP/Postal Code*

City

Country of Origin

Example: Kenya or other country of heritage/origin.

County of Origin

For Kenyan county identification and regional programming.

Preffered Prounounce

Preffer to Self Describe

4. Legal, Consent & Compliance

Code of Conduct*

I agree to uphold AKDOI’s values, treat all members with respect, and follow the organization’s code of conduct and community guidelines.

Photo/Media Release

I grant permission for AKDOI to use my photo, video, or likeness in event recaps, newsletters, social media, and promotional materials.

I do not grant photo/media permission at this time.

Mailing List Opt-In

I agree to receive AKDOI newsletters, membership updates, event announcements, and community alerts. I understand I may unsubscribe at any time.

Text Message Alerts

I agree to receive occasional SMS/text alerts for urgent updates, events, and membership reminders. Message and data rates may apply.

Data Privacy Acknowledgment*

I understand that AKDOI will use the information I provide for membership administration, chapter coordination, communications, event planning, compliance, and mission-related programs.

7. Applicant Acknowledgment & Submission

By submitting this form, I certify that the information provided is accurate to the best of my knowledge. I understand that membership is subject to AKDOI’s eligibility requirements, bylaws, policies, dues payment, and approval process where applicable.

Applicant Name*

Date*

Member information

2. Engagement & Interests

3. Membership Details & Payment

4. Legal, Consent & Compliance

5. Global Location & Diaspora Identification

6. Professional & Investment Profile

7. Applicant Acknowledgment & Submission