If you have already taken Red Cr

If you have already taken Red Cross Volunteer Orientation, please indicate what date:

Month

Day

Year

Please Tell Us About Yourself

Name:

Name First Required	Name Last Required

Email:

Street 1:

Street 2:

City/State/ZIP:

City	State	ZIP

Phone Number:

Employer:

Gender:

Date of Birth:

Month

Day

Year

Remember me. What's this?

Alternate Phone Number

* 4.

Emergency Contact Name

* 5.

Emergency Contact's Phone Number

* 6.

Are you now or have you ever been employed by the American Red Cross?

If yes, please list location, title, department and dates.

* 8.

Are you now or have you ever served as a Red Cross volunteer staff member?

If yes, please list the location, title, department and dates.

10.

How were you referred to the Dallas Area Chapter of the Red Cross?

* 11.

Have you ever been convicted of a crime other than a minor traffic offense (including during military service)?

12.

If yes, please explain:

* 13.

Are you licensed to operate a motor vehicle?

14.

If yes, which state?

* 15.

Have you ever been bonded?

16.

Has your bonding ever been revoked?

* 17.

Have any of your Red Cross certifications ever been revoked?

18.

If yes, please explain:

19.

If you are with a Ready When the Time Comes (RWTC) group, please tell us the group name:

20.

If You are part of a Ready When the Time Comes (RWTC) group, please indicate your area of interest:

21.

If interested in "Be Red Cross Ready," please select the community in which you reside.

22.

Please list any experience, special skills, professional licenses or certifications you have.

23.

Please check any Emergency Planning volunteer activites that interest you:
Please make up to 2 selections from the choices below.

	Mass Care Shelter Surveyor
	Government Liaison

24.

Please check any Emergency Preparedness volunteer activites that interest you:
Please make up to 5 selections from the choices below.

	Instructor (First Aid, CPR, AED, Basic HIV, HIV/AIDS Prevention, or Disaster Training)
	Clerical & Administrative
	Aquatics (Lifeguard Instructors & Water Safety Instructors)
	Health Fair Volunteer
	Community Disaster Education Presenter

25.

Please check any Staff Services volunteer activites that interest you:
Please make up to 3 selections from the choices below.

	Volunteer Fair Representative
	Youth Coordinator
	Placement Coordinator

26.

Please check any Emergency Response and Recovery volunteer activites that interest you:
Please make up to 12 selections from the choices below.

27.

Please check any Facilities volunteer activites that interest you:
Please make up to 4 selections from the choices below.

	Vehicle Maintenance Technician
	Vehicle Maintenance Facilitator
	Logistics Liaison
	Room Set-up Techinician

28.

Please check any Development & Communication volunteer activites that interest you:
Please make up to 7 selections from the choices below.

	Speaker Bureau
	Special Events
	Communication/PR Assistant
	Prospect Researcher
	Database Specialist
	Benefits Coordinator
	Tour Guide

29.

Please check any Retail or General volunteer activites that interest you:
Please make up to 5 selections from the choices below.

	Front Desk Executive
	Office Angel
	Data Entry
	Committee Member
	Production Room (sew, knit, crochet)

30.

Please check any Accounting volunteer activites that interest you:
Please make up to 4 selections from the choices below.

	Accountant/CPA Volunteer
	Accounting Clerk Volunteer
	Book Keeper
	Inventory Technician

31.

Please check any Sales volunteer activites that interest you:
Please make up to 3 selections from the choices below.

	Lifeline Marketing Assistant
	Lifeline Health Fair Team Member
	Data Entry Specialist

32.

Please indicate your location of interest:

33.

Availability:

34.

Days Available:
Please make up to 7 selections from the choices below.

	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday
	Sunday

35.

Preferred time to volunteer:
Please make up to 4 selections from the choices below.

	Morning
	Afternoon
	Evening
	Varies

36.

Are you interested in an internship with the Dallas Area Chapter?

Invitation for Self-Identification for Applicants

The American Red Cross is an equal opportunity employer. In recognition of its responsibility to its paid and volunteer staff, and the community it serves, the Red Cross affirms its policy to assure fair and equal treatment in all of its employment practices for all persons. We consider applicants for all positions without regard to race, color, religion, sex, age, national origin, disabled or veteran status, or other legally protected status. To help us track our organizational success, we ask your assistance in filling out this voluntary self-identification form. In addition to our internal tracking, the Red Cross must meet government record-keeping and reporting regulations.

37.

Please check all that apply:

	Female
	Male
	White, not Hispanic
	Black, or African -American, not Hispanic
	Hispanic or Latino
	Asian or Pacific Islander
	Vietnam Era Veteran
	Other Protected Veteran

Please download, print, sign and return the following forms to the Red Cross when you attend volunteer orientation.

Confidential Information and Intellectual Property Agreement for Volunteers

Code of Conduct

Please click here to complete our required online background check

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