Logo Citizen Corps of Washington County
Activating Volunteers in the Event of a Disaster
   

Join Citizen Corps!
Cedar Communities employees participate in a disaster simulation as part of their CERT training in 2006
You can join Citizen Corps by filling out the applicationinformation on this web site! We welcome your interest, and your help!

If you have questions or wish to help, please contact the Volunteer Center of Washington County at 262-338-8256.

If you have need for emergency services, please call the Office of Emergency Management at 262-335-4399.


Join Citizen Corps by filling out the following application.  Then, attend a one-hour long orientation to learn about upcoming events and trainings that you can get involved in!   If you have any questions, please contact citizencorps@volunteernow.net.

The Citizen Corps Outreach Coordinator will contact you by email with a follow-up to this application. 

Volunteering for Citizen Corps means giving freely of your services.  Liability coverage for professionals is covered by the government under designation by FEMA. Citizen Corps of Washington County is mandated by the State of Wisconsin to run a background screening on all Citizen Corps Applicants.  A $10 fee to cover this screening will be collected at the Citizen Corps orientation you attend.

Personal Information

First Name MI
Last Name
Street Address
City
Zip Code
County
Email Address
In the event of a disaster, we will need to get in touch with you at all times of the day.  Would you please supply us with the following telephone numbers:
Daytime Is That Number:
Evening Is That Number:
Cell/Pager
Date of Birth  
Distance you are willing to travel to help .
Which County or counties are you interested in volunteering for?
Washington
Waukesha
Racine
Jefferson
 		Ozaukee
Milwaukee
Kenosha
Walworth 		Sheboygan
Fond du Lac
Dodge

Select all of the following programs that interest you:
Neighborhood Watch Programs (citizen involvement in discouraging and preventing residential crime. The program uses citizen involvement to secure their own home and personal property and to report any suspicious activity.  It is a willingness to get to know your neighbor)
      
 Fire Department: Volunteering through your local fire department  

Community Emergency Response Team (CERT)

 Medical Reserve Corps     
                    
Volunteers in Police Service (VIPS)  (Called Communications Patrol/Auxiliary Police in Kewaskum and   West Bend.  Help police with traffic direction, security, child finger printing, adverse weather spotting, locating missing persons, and helping with Neighborhood Watch Programs)

Current emergency-related volunteering

Emergency activation only
**Background screening will be conducted.


There are many ways we can use your skills and/or equipment.  Please check all the boxes that you would like to offer.

Using Your Training and/or Profession: 
The following categories are skills that you probably use at your job and could be applied in the event of a disaster:

 Agricultural Livestock Professional

Animal Care Certifications (Vet, Vet Tech, Humane Society/Animal Shelter)

Building/Construction Professionals (engineers, architects, contractors)

Children Support Services Professional (DSS, Social Workers, educators Children's Therapists, Childcare) Educator

Financial Professionals (banking, accounting, bookkeeping, adviser)

Homemaker

Hospitality Professional (restaurant workers, hotel management/staff)

Management Professional (administrators, volunteer managers, managerial)

Medical Certifications (R.N., L.P.N., Physician, C.N.A., CPR Certified, Anesthesiologist, etc)

Office/Clerical (Computer skills, Telephone Skills, Filling, Data Entry)

Professionals Offering Emotional and Spiritual Support

Skilled Trades Certifications (carpentry, electrician, plumbing, heating/cooling, etc)

Technology Professionals (Telephone, computer networking, communication, systems)

Transportation (CDL License, Bus driver, semi driver, etc)

Skill Not Listed Above: 

Equipment/Supply/Storage Available:
 Animal Boarding  (for cattle, horses, livestock, { kennel facilities, barns})

Boat(s)

Equipment/Tools (chainsaws, power tools, generators, front-end loaders, dump trucks, lighting)   

Supplies

Vehicle (cars, trucks, horse/cattle trailers, 4-wheelers, tractors, vans, gators, etc.)

Storage Space:


            Thank you for offering up your time, services, and equipment!
  

Volunteer Center of Washington County
 237 N. Main Street
West Bend, WI 53095
 262-338-8256 or 1-800-VOLUNTEER
Business Hours: 
Monday through Friday, 9 am to 3 pm
Evenings and Weekends, By Appointment


The Volunteer Center is grateful to the     United Way of Washington County for funding support.