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Utah County Emergency Volunteers

Contact Information & Skills:

Please fill out the form below and press the "submit" button to send us your information. To volunteer by phone call 211 (on your home phone) or 801-377-6600 (from your cell phone).

Name: Day #:
Addr:  Eve #:

City:  

Cell #:
Zip:    Fax #:
Willing to help in other cities/towns: Email:

Languages spoken -  English:     Spanish:    Other:

Male:     Female:

Under 18:    18-54:    55+:

Individual:    Group:   How many:   
Group name:


Skills:
Manual work (ex., sandbagging):
Ham radio operator:
 
Clerical:
Heavy equipment operator:
 
Food handlers permit:
Medical / EMT background:
 
CERT trained:
Second language speaker:
Social work / case mgmt:
Other skills:

Resources:
Pick-up truck
4-wheel vehicle:
 
Backhoe:
Commercially prepared food:
 
Enclosed trailers:
Childcare:
 
Overnight accommodations:
Other resources:
Temporary shelter (animals):
   
   

Available:
How much notice
Daytime only:
 
Evenings only:
Weekends only:
 
As needed:
Other times:

Limitations:
Lifting:
Other limitations:
Standing for long periods:
     

Comments:

Please e-mail me with other volunteer opportunities:

Once you've answered the questions, press the "Submit" button.