Bexar County Forms

2. Bexar County CERT Volunteer Application
4. ***IMPORTANT, READ FIRST***
   Thank you for your interest in volunteering with the Bexar County Community Emergency Response Team (CERT). There are a few requirements to be added as a member:
   
   

   • Application
   • G-317 CERT Basic Course (In-person)
   • FEMA IS-100, IS-200, IS-700 courses (Online)
   • Background check (conducted by BCOEM)
5. 
7. Please follow our Facebook page facebook.com/certbexarcounty/ and Preparing Texas preparingtexas.org for available G-317 courses locally and visit https://training.fema.gov/is/crslist.aspx to complete the online courses. If you remain interested in joining our Program after completing the prerequisites, your information will be used to process your background check, which is required for all Bexar County CERT members. Upon a favorable background check result, we will reach out to you with more information on joining the Program. If you have any questions about this form or about volunteer opportunities please contact us at: 210-206-8760 or bexarcert@bexar.org.
9. First Name*
10. Last Name*
12. Address 1*
14. Address 2
16. City*
17. State*
18. Zip*
20. Email:*
21. Cell Phone*
23. Home Phone
24. Work Phone
26. Date of Birth*
    Date of Birth
28. Have you completed the CERT Basic Course (G-317)?*

    1. Yes
    2. No
30. Have you completed the FEMA IS-100, IS-200, and IS-700 courses? *

    1. Yes
    2. No
32. Education*
    Highest level of education
34. Have you ever served in any branch of military?
    If yes, please provide branch and date of discharge.
36. Relevant Skills, Experience, Work Experience, Special Training, Areas of Interest*
38. Current Licenses
    (MD, RN, LPN, EMT, etc.)
40. Employment Status*
    -- Select One --Full TimePart TimeRetiredStudentUnemployed
42. Other Languages Spoken
44. Do you have any personal health issues that would impact your ability to volunteer?
46. Are you a part of an emergency/disaster plan with any other organization?
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field