Carey Association Disaster Relief Registration Thank you for your willingness to love your neighbors through Disaster Relief. We are updating our DR user group and need to know a bit about you, your training level, and previous deployments so please complete this brief interview. We do NOT share your info with anyone outside our DR network. Your Name* First Last Your Email* Enter Email Confirm Email Mobile Phone*Home PhonePreferred Method of ContactEmailPhoneDo you have a current badge?*YesNoWhat is the expiration date on your badge? TrainingPlease tell us about areas where you have EVER received formal DR training. Mud-Out Chain saw Food preparation Laundry service Chaplain Assessment Command Center RECENT TrainingPlease tell us about training you have received within the last three years. (This looks like a duplicate because it sorta is a duplicate. The first box is about ANY training EVER. This section is about recent training in the last three years.) Mud-Out Chain saw Food preparation Laundry service Chaplain Assessment Command Center Deployments you have servedSelect all the areas you have served in DR. Mud-out Chain Saw Food Preparation Laundry service Chaplain Assessment Command Center What areas are you most interested in serving? Mud-out Chain Saw Food Preparation Laundry service Chaplain Assessment Command Center What year did you first serve in Disaster Relief?*Your Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Your Birth date* Church Membership*Please tell us where you attend church regularlyBeneficiary*When deploying out-of-state, DR volunteers are sometimes covered by life insurance. Please give the name for your selected beneficiary. First Last Special skills or experience that may be helpful in DRCommentsThis field is for validation purposes and should be left unchanged.