Aloha, the Hawaiʻi Immunization Coalition has started a pro-immunization public advocacy group to promote the importance of vaccines as a public health benefit.  If you are interested in being part of this important grassroots initiative, please complete the form below and one of our administrators will contact you within 5 business days.  Thank you for your support in keeping Hawaiʻi protected against vaccine-preventable diseases.

* 1. Please enter your contact information below:

* 2. What areas of advocacy are you interested in? (Select all that apply.)

* 3. How would you like to help? (Select all that apply.)

* 4. How many hours per month can you commit to helping with pro-immunization advocacy efforts?

1 hour 20 hours
i We adjusted the number you entered based on the slider’s scale.

* 5. We have found that anecdotal stories are very powerful in advocacy.  Would you be willing to share your story on our website on how/why you are an immunization advocate?

* 6. If you answered "Yes" to question #5, how would you like to share your story (check all that apply)