ANIMAL CRISIS TEAM MEMBER FORM
Updated May 3, 2010 - jw
 
This act-member-form.txt is maintained here:
  http://www.animalcrisisteam.com/application/act-member-form.txt

This form is for use by new member applicants and for existing members wanting to provide updated information.

Please complete this form for us to enter into our secured member database.  We must be able to contact you during a crisis, and this is the best way.  ALL INFO WILL BE HELD IN STRICT CONFIDENCE:

0. DATES SUBMITTED/RESUBMITTED:

1. Yahoo! ID: 

2. NAME:

3. PRIMARY EMAIL ADDRESS:

4. CITY AND STATE OF RESIDENCE:

5. PHONE NUMBER(S):

6. YEARS EXPERIENCE WITH ANIMALS OR OTHER APPLICABLE TRAINING THAT WOULD HELP(ACT welcomes new members with or without animal rescue experience. If you do have any special skills or training, we would like to know about them):

7. IN WHAT CAPACITY WOULD YOU BE WILLING TO HELP US:

8. How do you prefer to be contacted (email, telephone, IM, etc.):


== The following information is required & verified if you want to be considered for volunteer work with animals ==

A. VET INFO (Include address and phone for verification):

B. TWO PERSONAL REFERENCES (Include phone number for verification):

C. RESCUE REFERENCE(S) (if you have one) YOU HAVE WORKED WITH (Include dates, name, phone, and email):

D. Which relevant NIMS/FEMA courses have you completed? (We will request copies of certificates. See followup iv. below.)

E. In which geographic areas are you willing to participate as an ACT volunteer? 


----------- Followup information -------

i. Copy the above completed form to an email and send to <AnimalCrisisTeam-owner@yahoogroups.com> with Subject: "ACT-Member-Form for your name"

ii. New members: Once your form is processed, you will be invited to join the ACT Forum. Posts are moderated and limited to active crisis topics. Join the ACT-Discussion forum for broader topics.  Resubmit if you do not get a confirmation within 3 days. 

iii. New and existing members: Keep a copy of this form for your records and use it to send [updated information]. Use square brackets to indicate updates.

iv. If you want disaster training for animal rescue, the following resources are useful:
  iva. http://act.wikia.com/wiki/Training
  ivb. http://training.fema.gov/emiweb/IS/crslist.asp
  ivc. Recommended & required NIMS/FEMA courses: http://www.uan.org/index.cfm?navid=154

v. Additional information about ACT
  va. http://www.animalcrisisteam.com/drupal/
  vb. http://act.wikia.com/

====================
Forum Moderators
Animal Crisis Team
http://pets.groups.yahoo.com/group/AnimalCrisisTeam/