Emergency Management Group Volunteer Interest Form
Complete this form to indicate interest in volunteering with Emergency Management Group - Washington.
Cell Phone Number
Home Phone Number
Emergency Contact Name:
List someone who will not typically be at the events you volunteer for.
Emergency Contact Phone Number:
HAM callsign (if licensed):
Enter your callsign if you possess a HAM license, otherwise leave blank.
Incident Command System and Medical Training
Please check yes to indicate whether you have completed any of the following training.
ICS-100: Intro to Incident Command System
ICS-200: ICS for Single Resources and Initial Action Incidents
ICS-300: Intermediate ICS for Expanding Incidents
ICS-400: Advanced Incident Command
ICS-700: National Incident Management System
IS-15b: Special Events Contingency Planning
Other ICS Training
Please check to indicate which current medical training and/or certifications you possess, if any.
Basic First Aid / CPR
Outdoor Emergency Care (OEC)
First Responder / Emergency Medical Responder
Emergency Medical Technician or Paramedic (EMT)
Nurse or Advanced Practitioner (RN, LPN, ARNP, PA, etc)
Medical Doctor (MD or DO)
We seek individuals interested in any aspect of emergency management. As a volunteer organization, individuals determine the amount of time and energy they commit. We encourage participation by emergency management groups as a part of their on-going training and team building.
Event Operations Roles
Depending on the event that EMG is supporting, we have the need for individuals with a variety of expertise and knowledge. Event operations roles typically require completion of ICS 100, 200, and 700 prior to the event. Please check all areas of interest or skill.
Communications (both amateur radio and land mobile radio systems, VOIP and cellular communications; CommTech and CommLead qualified)
Medical (individuals with EMT and other medical credentials)
Logistics (skills in managing equipment, supplies, and staffing)
Planning (ability to gather, analyze, and assemble data into plans and situation reports)
Operations (Good public skills and able to identify hazards.
Safety (assure safe operations of emergency management personnel)
Risk Management (investigative or insurance claims experience)
EMG Support Roles
EMG additionally needs personnel to support the administrative operations of the organization. Personnel in these roles may or may not have emergency management experience or training, and are also available for staff who work event operations. Please indicate all areas of interest.
Training (Developing curricula for members and special event producers and Members)
Information Technology (Web site development, WebEOC administration, SharePoint administration, GIS development)
Outreach (Recruiting volunteers; recruiting festivals; securing grants and contracts)
Skills and Experience
Other Skills and Experience
Please enter any additional information, skills, experience, or training related to the areas of interest you have selected.
Please check any emergency service group affiliations you have.
Search and Rescue
Amatuer Radio Emergency Service (ARES)
American Red Cross FAST Team
Fire Department / Ambulance Service
College Emergency Management Program
Edmonds Community College Occupational Safety & Health Program
Pierce College Occupational Safety & Health Program
If you are affiliated with a particular agency (Fire, SAR, etc.) list it here.
Emergency Worker / DEM Number:
If you have a state emergency worker or DEM number, list it here.
Please indicate any mobility concerns or other information that will impact role assignment.
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