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Help us keep the volunteer opportunities database up to date. If you have more information about local disaster response volunteer groups, please complete this form. Required fields are marked with a '*'.

Local Response Group Information:

*Name of local response organization (required):

*Street Address (required):

*City (required), in USA:

*State (required), in USA:
Zip Code:

*Country of disaster (required):

*Contact (required):

*Phone numbers (required):

Best hours to call:

Fax number, if any:

E-mail address, if any:

Is e-mail checked daily?
Yes: No:

Web site address, if any:


Volunteer Information:

*Location(s) or Region(s) Served (required):

Speciality:

*Description of volunteer needs (required):

Skills volunteers are required to have :

Useful skills:

Rural/Farm related Volunteers needed, If any please describe:

Tools or supplies volunteers should bring:

Will volunteers need to bring any money or materials, such as for housing?

Length of time volunteers can help:
Minimum:

Size of volunteer teams :

Are individual volunteers welcome?
Yes: No:

Age restriction:

Any other restrictions:

Denomination/Affiliation, if any:

If yes, must volunteers be a member?
Yes: No:

Housing provided, if any:

Meals provided, if any:

Any additional notes:

Approximate date the project started:
Estimated date the project will end:


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