	Volunteers Needed
	Volunteer Application

American Red Cross Responds to Wisconsin Floods July-26-2010

Flood, fire and wind created a whirlwind disaster response activity for multiple American Red Cross Chapters across the state. Throughout Wisconsin, trained volunteers have traveled across the state to open shelters, distribute clean-up kits, conduct disaster assessments and support the emergency needs of those affected by the storms. Red Cross volunteers have also supported emergency crews with water, Gatorade, snacks and shelter.

All disaster assistance is free. For instance, clean-up kits are being distributed at Red Cross offices as well as by volunteers going door-to-door. Each kit includes a variety of clean-up items such as squeegee, mop, bleach, gloves, and more.

Please consider making a donation to our National Disaster Relief Fund to help the people affected across the state of Wisconsin. Three ways to donate include:
Visit www.redcross.org to donate online
Call 1-800-RED-CROSS
Text REDCROSS to 90999 to make a $10.00 donation

Volunteer Application

Steps to Begin Volunteering with the Red Cross - Badger Chapter:

1) View our various Volunteer Opportunities

2) Complete the Volunteer Enrollment Form

3) Sign and submit the Volunteer Signature Forms

4) Complete the Online Orientation which will provide an overview of the work of the Red Cross volunteers

5) Review and Complete the Volunteer Handbook

Volunteer Enrollment Form

Please review the application packet before completing this online form.

Name [First Middle Last]:*

Preferred Name:

Residential Street Address:*

City:*

State Code:*

Zip Code:*

Primary PhoneType:*

Secondary Phone-Type:

Email Address:*

Current Employer-School:

Occupation-Grade in School:

If Retired-Unemployed, Please List Your Most Recent Employer:

Emergency Contact Information:

Contact Name:*

Relationship to You:

Address:

Contact Phone Days:*

Contact Phone Evening-Weekend:

How Did You Hear About the American Red Cross Volunteer Program?

Select all that apply.

What is your motivation to volunteer with the American Red Cross?

Check all that apply.

Internship Career Experience Reentry to Job Market School Credit School Service-Learning Requirement Court Mandated Service Social Benefit Other

Background

Education:

Special Skills:

Please describe any language skills you have:

Are you a registered nurse, vocational nurse, or student nurse?

Please describe any computer skills you have.

How often and when are you available?

Do you have previous Red Cross experience? If so, where, how long and what position[s]?

Please provide any additional information you would like to share here.

American Red Cross Volunteer Areas:

Please check all areas of interest.

Community Development

Communications Ambassador Fund and Resource Development

Emergency Services

Disaster Action Team Community Disaster Education Measles Initiative Armed Forces Emergency Services

Health and Safety

First Aid - CPR - AED Instructor Babysitting Instructor Compression Only CPR Leader

Professional and Office Support

POS

Computer Records Management - Data Entry Office Partner

Blood Services

Provide Support at Blood Drives

I certify that the information in this application is correct to the best of my knowledge and belief.

I authorize agents of the American Red Cross to check the references I provided and check with the appropriate public authorities regarding my background and history. I understand that should I be offered a volunteer position,

any misrepresentation by me may lead to termination. I also understand that my volunteer service can be terminated with or without cause and / or notice, at any time by either the American Red Cross or myself.

If accepted, I will abide by the rules and regulations of the American Red Cross and the Badger Chapter. I understand that completing the application process does not guarantee acceptance as a volunteer.

Authorization

I Agree I Disagree