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Emergency Preparedness Volunteer Registration Form

  1. Must be over 18.

  2. May we contact you at work?

  3. Have you volunteered before?

  4. Would you be willing to take training to assist with emergencies?

  5. When might you be able to volunteer?

    Check all that apply.

  6. Times Preferred

    Check all that apply.

  7. Frequency

  8. Transportation

  9. Volunteer opportunities are for Harford and Cecil Counties only.

  10. Are you willint to volunteer outside this area?

  11. Emergency Action Volunteers

    Available for Harford County residents 18 years of age and older only.

  12. Do you have a commercial driver license?

  13. Leave This Blank:

  14. This field is not part of the form submission.