Kinship Circle Volunteer Form

Volunteer Form Register in Kinship Circle Animal Disaster Aid Network Volunteer button links

VOLUNTEER REGISTRATION / Kinship Circle Animal Disaster Aid Network

KINSHIP CIRCLE ANIMAL DISASTER AID Is a network of independent volunteers who communicate during disasters to mobilize volunteers, supplies, and other resources for animal victims. Kinship Circle may work directly at disaster sites or in conjunction with other organizations. We also provide news and updates during disasters.

You are an independent rescuer, responsible for training and certification in animal disaster response. You are self-sustaining, with your own transportation, in a disaster zone. When Kinship Circle is called upon for direct deployment, or manages volunteers for another organization, you are to report to an assigned site and duties (that reflect your skills, experience, training). If you fail to follow command structure, you are no longer considered a Kinship Circle volunteer.

1) Please answer all questions that are applicable. Fields with asterisk * are required.

*First Name

*Last Name

Organization

*Address 1

Address 2

*City

*State

*Zip Code

*Cell Phone

Land Phone

* Email

Are you subscribed to Kinship Circle Animal Disaster Aid EMAIL LIST? Yes No

2) FEMA CERTIFICATIONS — List each FEMA course number and title you are certified in.

3) OTHER FEDERAL, STATE, AND COMMUNITY DISASTER RESPONSE TRAINING/CERTIFICATION — List course title and certification, agency, year of training. FOR EXAMPLE: Community Emergency Response Team (CERT); State or County Animal Response Teams (SART, CART); Red Cross Trainings; First Aid Courses; National Association for Search and Rescue (NASAR); Fire Training Programs; Swift Water Training/Certifications...etc.

4) ANIMAL DISASTER RESPONSE TRAINING AND CERTIFICATION — List training title, organization, year of training. FOR EXAMPLE: UAN/EARS; HSUS/NDART; Noah’s Wish; AHA; MuttShack Animal Rescue…etc.:

5) PROFESSIONAL EXPERIENCE — FOR EXAMPLE: Veterinarian, Vet Tech, Animal Control Officer, Shelter Worker, Paramedic, Fireman, Nurse…etc.:

6) ANIMAL DISASTER AID EXPERIENCE — List name/year of disaster. List organization you deployed under and your duties. FOR EXAMPLE: Hurricane Katrina, 2005. ARNO, food/water stations and transports…etc.:

7) ADDITIONAL SKILLS OR TRAINING RELATED TO DISASTER RESPONSE FOR ANIMALS:

Please enter the code to the left exactly as you see it in the space below. The code is case sensitive. Confirmation code:

SUBSCRIBE TO OUR DISASTER AID EMAIL LIST:
You must subscribe to our email list to get updates during disasters.

Kinship Circle Animal Disaster Aid is a network of independent volunteers who communicate during disasters to mobilize volunteers, supplies, and other resources for animal victims. Kinship Circle may work directly at disaster sites or in conjunction with other groups. We also provide news and updates during disasters.

DONATE ONLINE

DONATE BY MAIL:
Kinship Circle
7380 Kingsbury Blvd.
St. Louis, MO 63130