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OLAFR Inc. Volunteer Questionnaire
Answers to the following questions are for use by OLAFR Inc. only. The intent is to allow our database maximal information so that in the event of an emergency we can quickly and efficiently deploy persons most suitable to assist in that particular situation.
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* Indicates required question
Name (first and middle initial):
*
Your answer
Name (surname):
*
Your answer
Address (line 1):
*
Your answer
Address (line 2):
Your answer
Address (Town or City):
*
Your answer
Address (Zip):
*
Your answer
Telephone (landline - if none enter "none"):
*
Your answer
Telephone (cell - if none enter "none"):
*
Your answer
Telephone (other):
Your answer
E-mail (if none enter "none"):
*
Your answer
Age (not required, but is helpful):
Your answer
Are you an OKMRC (Oklahoma Medical Reserve Corps.) member?
*
Yes
No
Do you have an OKMRC Badge?
*
Yes
No
Not OKMRC Member
If badged OKMRC member, badge number (from reverse of OKMRC badge, at bottom):
Your answer
Are you a veterinarian?
*
No
Yes - Large Animal
Yes - Small Animal
Yes - Non-Practising
Required
Other status/involvement offered to OLAFR (check all that apply):
*
Veterinary Technician
Animal Handler
Transport driver
Supply distribution
Fundraiser
Evacuation/Foster Facility
Office/Telephone
Donor
Required
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