NOTE: THIS APPLICATION IS RESERVED FOR COMPLETION IN THE INTEREST OF DISASTER RESPONSE/RECOVERY EFFORTS.


THANK YOU for your interest in assisting with disaster response/recovery. Complete the information below to assist us with matching you to an assignment that aligns with your skills and interests as they become available.


Basic Information


Contact Information

Message Preferences: 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.



Emergency Contact

In case of emergency who is your primary emergency contact?



Group Volunteer Registration

If you are part of a non-disaster response group that wishes to volunteer (i.e. Haines City Rotary Club, The employees of ABC Retail, etc.), please include your group name and city/state.



Skills and Experience

Skills checked here will help us to match you to an assignment based on need.



How did you hear about us?

How did you find this application?



Availability and Location

Please indicate the days and times you are usually available to volunteer and where you would be able to help.



RSVP Enrolled Volunteers ONLY

If you are age 55 or older, are you currently enrolled in RSVP Polk? (Michelle Shiver)



Volunteer Portal

Volunteer Polk provides a volunteer portal for you to view and edit your information online as well as see the service you provided once it has been electronically entered. You will also be able to export your service records.