2017 Hurricane Irma - Cuba Volunteer Form
Canadian Global Response is mobilizing disaster relief teams throughout the fall of 2017 to help with mud-outs, chainsaw, and food distribution. Some portions of the impacted areas are in recovery mode and we have partnering units already in place or heading there now in need of volunteers. Different areas are still in the middle of rescue operations and we are unable to deploy but we are diligently training volunteers and preparing to serve those areas.

Please share this form with others who may be interested in assisting.

Email address *
First and Last Name *
Your answer
Email *
Your answer
Physical Address *
Your answer
Phone Number (cell or home)
Your answer
What disaster relief training do you have?
Which days in the fall of 2017 are you available to volunteer in Cuba? (please check off as many as possible) *
Do you have any health concerns we should be aware of?
Your answer
What health insurance are you covered under or will purchase if you do volunteer?
Your answer
Do you have a valid Canadian Police Check completed this year? *
What t-shirt size are you?
Other Comments?
Your answer
Thank you for completing this form for volunteering in Cuba!
Volunteers will receive further instructions via email from Canadian Global Response. Registering availability does not guarantee deployment, but ensures that your volunteer application will be addressed quickly.
A copy of your responses will be emailed to the address you provided.
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