Emergency Rescuer Signup
The aim of voluntary emergency response is to provide immediate assistance to maintain life, improve health and support the morale of the affected population. Such assistance may range from providing specific but limited aid, such as assisting with transport, temporary shelter, and food, to establishing semi-permanent settlement in camps and other locations. The focus in the response phase is on putting people safe, prevent need disasters and meeting the basic needs of the people until more permanent and sustainable solutions can be found. Kansas Relief Angels are responsible for bringing together humanitarian actors to ensure a coherent response to emergencies.
Email address *
First Name *
Last Name *
Address *
Date Of Birth *
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Vehicle Tag Number and State Issued *
Have You Had The Following Training *
Column 1
Red Cross First Aid/CPR/AED
Advanced First Aid
Search and Rescue
Law Enforcement
Fire Fighter/ Paramedic
Doctor
Nurse
Mental Health
Veterinarian
Have You Had The Following Skills Experience *
Column 1
Search and Rescue
Hazardous Materials Recognition
First Aid/Medical
Equine Rancher
Cattle Rancher
Large Equipment Operator
Mariner
I Feel That My Skills Would Be Best Used In The Following Area(s)
Column 1
Search and Rescue Team
Large Animal Rescue Team
Small Animal Rescue Team
Animal/Parent Reunification
Water Rescue Team
First Aid Team
Security Team
Psychological First Aid Team
I Have The Following Military Training *
Column 1
United States Army
United States Air Force
United States Navy
United States Marine Corp
United States National Guard
United States Coast Guard
Please Provide Any Special Militarily Training You May Have. *
Please Provide Any Special Rescue Training You May Have(Year, location, organization) *
By filling out this form you agree that this information is true and factional. Giving Kansas Relief Angels permission to check all background information through law enforcement and or but not limited to state background information checks. All information obtained will fall under the privacy information act and will only serve as information to ensure the safety of those requesting rescues, property, live stock, domestic animals and the community at large during disaster relief. You also agree to holding personal health, life and property insurance in the case of property damage or personal injury releasing Kansas Relief Angels from any personal liability. You also agree that this is a humanitarian effort and you will not be compensated for your efforts monetarily or through goods donated. You are giving Kansas Relief Angels express permission to report any and all illegal activity during the time you are volunteering. You are giving Kansas Relief Angels permission to use your photos, stories and videos to bring awareness as we ensure our donations are being delivered, animals being rescued, lives being saved and property is being handled with dignity and respect in real time. *
A copy of your responses will be emailed to the address you provided.
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