Volunteer Application

 

You can become a volunteer in the CRTF and make a difference in our community. All you need is to have a great attitude and a smile to serve in the CRTF. The is a place for everyone. If you are the owner of a business, non-profit or community organization and would like to involve your organization please fill out the same form but make sure to add the additional information about the organization.

The Community Response Task Force is organized for the purpose of providing a platform for local persons, groups, clubs, or agencies to network and cooperatively prepare for and assist during large scale disasters. Natural disasters such as hurricanes, floods, fires, and tornadoes have occurred in our past and will continue to wreak havoc on our region. Man made incidents such as terrorism or war can potentially result in overwhelming catastrophe. Large scale disasters quickly overwhelm local government's ability to effectively respond. Grass Root Community efforts to organize and prepare reap enormous benefits when disaster does strike.

Individuals and/or groups/organizations/agencies with interest in disaster response and relief who are of good moral character may become members of the CRTF. No special skill or ability is necessary; everyone possesses individual skills and resources that can help. The greatest requirement is a desire to help their community in times of greatest need.

If you would like to become a of member of the CRTF please provide the following information. Your request for membership will be reviewed by the membership during the next regular meeting. Upon acceptance you will be notified. Meetings are held on the second Friday of each month. Information regarding the CRTF is sent regularly via Email. The information you provide will be used for information networking related to CRTF business and operations only. All other use is prohibited. Thank you for considering being part of this important community effort.

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* Required information.
Type of Application: *
Type of Organization: *
Name of Organization or Individual: *
Date of Birth:If this is an individual application please provide your DOB
Organization's Contact Person:If this is a organization application please provide contact person's name
Street or P.O Box: *
City: *
State: *
Zip Code: *
Email: *
Primary Phone: *
Secondary Phone:
Fax:

Select that which applies

The primary goal of the CRTF is to facilitate the sheltering and assistance of disaster victims through local, state, and national relief organizations. Volunteers registering will be added to a local data base and contacted when or if needed during times of disaster. Volunteers are primarily needed to assist in planning, preparing for, and working in area shelters and relief programs during and after disasters. You are the Communities greatest resource in time of need. Below are a series of questions which will help the organization place you where the need is greatest and you can have the greatest impact.

Check all that apply
I hold health care certification as doctor, nurse or EMT?
I have a current drivers licence.
My vehicle can be used to transport supplies or persons.
I have admin abilities.
I am an amateur radio operator with equipment that can be used.
I am an amateur radio operator, but have not radio equipment to be used.
I have supplies, material, or other resources that can be used in a disaster.
I am CERT certified.
I am certified to work in a shelter.

List Resources

If you have supplies, material, transportation or equipment which can be donated or used during an incident please list them in the box below.

CRTF Disclosure and Agreement*

By checking the agree box you are acknowledging that all of the above information is correct and that you are giving the CRTF permission to process this application. The CRTF will not share this information with anyone outside of the organization and will only use if for official purpose. Information provided on this form will be recorded in a CRTF data base for reference when your assistance may be needed during a disaster. CRTF will not transfer any information for proprietary use. Persons of good moral standing filling out a registration may be contacted and asked to volunteer to assist disaster victims.

CRTF Disclosure and Agreement: *
Agree
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