Project Joint Guardian Member Application

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Name *

First and Last Name

Email Address *

Phone Number *

Birthday *

YYYY

Which position(s) are you interested in? *

Deployable team member

Organization Volunteer

Fundraising Help

Other:

Required

Are you currently a full time paid firefighter? *

Yes

No, but would like to assist the team in other ways

Required

What fire department do you work for? *

Are you an EMT or Paramedic? *

Yes, EMT

Yes, Paramedic

Required

Are you a sworn USAR member? *

Yes

Which USAR task force are you with? *

N/A if you are not associated with a USAR team

Are you fluent in Ukrainian? *

Yes

Do you have a valid and current passport? *

Yes

Required

Describe yourself and why you want to be apart of Project Joint Guardian. *

Submit

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