Please complete this application form if you are interested in becoming a Clay County volunteer. Once you complete the form, click the Continue button at the bottom.
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.
Please indicate the days and times you are usually available to volunteer.
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email! Please select the emails you prefer to receive.
Volgistics Volunteer Alerts sends reminders, alerts, and custom messages from System Operators and
Coordinators. Use this section to opt-in and opt-out of text messaging (also known as "SMS"),
and initially set how you would like to receive messages. Your messages can be delivered as emails,
text messages, or none. You can change this at any time through VicNet. View supported phone carriers.
Message and Data Rates May Apply. For help or information on this program send "HELP" to 28344.
You can send "STOP" to 28344 at any time to opt out. For additional assistance, call 888-891-6978 or
Message frequency based on account settings.
Messages are not guaranteed to be delivered. All messages will be sent by email until you respond "YES"
to the welcome text message sent after the application form is submitted. Message preferences
can be changed in VicNet on the Account tab.
Please write yes or no if you have a background check and what date was it conducted on and who holds it.
As a volunteer, I agree to abide by all applicable rules and regulations of the Clay County Emergency Operations Center.
I hereby authorize Clay County Emergency Management to check my references.
I certify that the information provided on this application is true and complete. I understand that any misrepresentation or omission of facts on this application could be cause for rejection or dismissal.
I understand that after I submit my application it will be reviewed by the Volunteer Coordinator. Upon receipt of notification from the Volunteer Coordinator, I agree to attend any required Volunteer Orientations and on-site training.