DISASTER VOLUNTEER UPDATE INFORMATION

We want to bring all of our records on our disaster volunteers up-to-date.  You can help us by completing the following information and forwarding it to:

1.  Name:                                                                       2.  Date:

      (Have you previously used any other name/s? i.e. Maiden name)

3.  Street Address:                                                        4.  County:

5.  City:                                                                          6.  State:               7.  Zip:

8.  Res. Phone:                                                             9.  Work Phone:

10.  Cell Phone :                                                           11.  Email Add: 

12. Birthdate:  Mo/Day/Yr                            13.  Gender:  M / F

14. Life Experiences:  (The Red Cross is now acknowledging life experiences as part of the training and job assignments.  Any information regarding education, work history and volunter experiences will be helpful.)

15.    Please list any Red Cross Courses you have taken in the past:

16.    List any Red Cross Committees on which you have served.

17.    Are your First Aid and CPR courses up-to-date?  Yes ____    No _____

18.    Disaster Services volunteers may take their First Aid and CPR training at only the cost of materials which is $ 5.00.  This is a savings to you of $40.00.

If you have not completed a background check please go into the Red Cross approved and secure web site:  www.MyBackgroundCheck.com , click on the Red Cross link on the lower right side of the screen and follow the prompts.  (YOU DO NOT HAVE TO COMPLETE ANY CREDIT APPLICATION.)

There is no cost to the volunteer to do this.  Your personal information is confidential.

Thank you very much for continuing as a Red Cross Volunteer.  Your service is so great!

Evelyn McCarty, Emergency Services Program Director

270-683-2438 or toll free 800-621-4982

or email: evelyn@bigriversredcross.org