GSMSG CONUS Operations / Disaster Relief Volunteer Roster
This is a preliminary form. In the event of a disaster we will go through the roster and select/contact individuals based on the needs on the ground.
Which state are you geographically located in? Use the postal code state abbreviation.
Medical Professional (EMT, RN, PA, NP)
Medical Professional (MD, DO)
Your specialty or MOS within your qualification
Number of years experience with your qualification
Upload the follow items: 1) Gov't issued photo ID 2) Proof/Certification(s) of your qualification checked above
Do you have a truck, SUV or other large vehicle that you would be willing to use in aiding with a GSMSG disaster response?
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