Disaster Response Volunteer Form

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Name *

Street Address *

City *

ZIP *

Age *

Email *

Mobile Phone *

Local Church *

How quickly can you deploy? *

What duration are you comfortable deploying for? *

What skills/interests could you provide for disaster response? Areas of need are: providing spiritual care and counseling; cleaning up homes and properties (debris removal, mucking out flooded properties, chainsaw work, trash removal), searching for memorabilia or sentimental items for families; distributing food, water, and other non-food items, organizing relief supplies being sent to our churches in the areas; setting up and administering “case management” systems for the local church to continue supporting survivors long term; preparing hot meals; repairing/rebuilding damaged homes, churches, and other structures; translation services; doing laundry; if medically trained, providing first aid and other services and referring to the hospitals as needed *

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