UWM Panther Response Team Application Form
Please complete this application form if you are interested in becoming a participant in the UWM PANTHER RESPONSE TEAM (PRT), based at the Center for Community-Based Learning, Leadership, and Research at the University of Wisconsin-Milwaukee.
Once you complete the application form, click the Continue button at the bottom.
What is the Panther Response Team (PRT)?
The UWM Panther Response Team (PRT) facilitates opportunities for University of Wisconsin-Milwaukee students, faculty, and staff to train and serve with agencies and non-profit organizations that support individuals and communities as they address critical needs and prepare for, respond to, and recover from emergencies and disasters. To learn more about the program, visit: https://uwm.edu/community/students/
Name and Address
Please check if you are a Student, Faculty, or Staff member at UWM. University affiliation is REQUIRED for participation.
Academic Major and/or Field of Practice
Please list your academic major, field of study, and/or your current profession.
Interests and Volunteer Experience
What community issues are you most interested in and why? What volunteer experience do you have?
Skills and Knowledge
What skills and knowledge would you like to offer to the team? Tell us about the skills and knowledge you hope to gain.
List any Certifications (e.g. CPR/AED, First Aid, Heavy Equipment, FEMA Incident Command System courses, etc.) related to safety or emergency management that you currently hold. Please include the date of expiration if applicable.
This information will be extremely important in the event of an accident or medical emergency. Please list and explain any special medical or personal information you would want an emergency care provider to know.
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.
What kinds of email would you like to receive?
The information in this application is true to the best of my knowledge. I understand that this is an application for and not a commitment or promise of volunteer opportunity, and that this application does NOT guarantee a volunteer placement with a partnering agency or non-profit organization. Please contact the Program Manager at email@example.com with any concerns.