Disaster Relief Interest Form - Louisiana 2021
This form is designed for those who are interested in serving in Louisiana with SendMeMissions for Disaster Relief. These trips are designed for able bodies ages 16+ (Minors 15 and younger will be considered on a case by case situation and must be accompanied by at least 1 parent)

If your spouse or family will be going as well, please fill out this interest form per person (including children/minors)

All expenses are paid by SMM (lodging, food & water are included). *If you have food allergies, please plan on bringing your own meals & snacks.

Due to COIVD-19 all volunteers should not plan on serving if they have shown any symptoms of illness or been around anyone with symptoms of COVID-19. All other safety precautions should be adhered to while serving.

More details will be available as the trip gets closer and will be provided via emails.

Once your deployment is confirmed and you are approved to join the team, a Liability Form will also be required from each person.
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When are you available to deploy? (If you are not able to serve during all deployment dates, but can serve a shorter time period, please select "other" and add your exact available dates.) *
Required
Full Name *
Cell # *
Cell Service Provider *
Email Address *
Mailing Address *
Age / Birthdate *
Male or Female *
What size shirt do you wear? *
Are you aware of any physical problems that may limit you? Please explain:
Please list any medical conditions, allergies, and diet considerations. WARNING: All areas that have experienced flooding have high levels of bacteria and mold. If you are immune compromised, we do not encourage you to serve in the field.
Do you have health insurance? If yes, list company & bring your card with you)
Clear selection
Have you served on a Disaster Relief Team before? *
Special Skills and/or vocational/disaster training
Do you have access to any tools or heavy duty equipment? (Please list, if yes. You will be contacted if the items are needed for the trip.)
Do you have a truck or SUV that can pull a trailer? *
Are you able to drive and have people ride with you? If yes, what type of vehicle do you have, how many people in addition to yourself can your vehicle hold?
If you are currently employed, have you been given permission to take time off?
Emergency Contact Name *
Emergency Contact # *
Emergency Contact Email Address *
How did you hear about this trip? *
Are you part of a local church? If yes, please list church name:
If you are part of a local church, please list your Pastor's Name, Email Address, and Phone #
I understand that a background check will be required for all team members over the age of 18 for this trip. (Background checks will be completed by SMM at no cost to team members) *
Required
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