Please complete this application form if you are interested in becoming a Hays County CERT volunteer. Once you complete the form, click the Continue button at the bottom.


Contact Information

All boxes with an asterisk (*) are mandatory. Please be sure to type the State Abbreviation with your Drivers License Number***



EMail

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Employer

Please list your current or most recent employer, if applicable.



Demographics

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply.



Interests

Which of these areas are you interested in? Check all that apply.



Availability

Please indicate your interest in either Active or Reserve as well as the days and times you are usually available to volunteer.



Affiliations

Choose the organizations with which you are affiliated



Emergency Contact

In the event of an emergency whom should we notify?



Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.



I Agree

I understand and agree that submitting this application form does not automatically register me as a Hays County CERT volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.


By submitting this form, I hereby authorize Hays County Office of Emergency Services and its designated agents to conduct a comprehensive review of my background causing a consumer report and/or investigative consumer report to be generated for volunteer purposes. By doing so, I understand that I release Hays County Office of Emergency Services and Hays County CERT from any and all liability for damages of whatever kind, which may at any time, result to me, my heirs, family or associates because of compliance with this authorization and request to release.