Volunteer Application
Name
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First Name
Middle Name
Last Name
Date of Birth
*
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Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
T-Shirt Size
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Place of Employment
Position currently held with place of employment.
Emergency Contact 1
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First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact 2
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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What Divisions are you most interested in?
C.R.I.C.(Crisis Response and Incident Control: Search and Rescue/Rapid Response)
A.L.S.O.C.(Asset and Logistics Support Operations Control: Supply Chain and Logistical Support)
R.I.S.E.(Repair, Improve, Support, and Execute: Construction and Restoration Program)
G.T.G.(Guarding the Guardian: Mental Health Support and Chaplaincy Program)
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Certification & Capabilities
These are not required but helpful if you do have them.
Please Select Any Certifications You Currently Possess.
Incident Command & Operations
Search & Rescue (SAR)
Logistics & Transport
Communications (HAM, Satellite, Etc..)
Restoration & Labor
Mental Health & Peer Support
Medical / First Aid / Safety
Support & Admin
Chainsaw Operation
Drone / Recon Operations
Forklift / Pallet Handling
Chaplain / Spiritual Support
Data Logging / Paperwork
Public Engagement / Intake
Light Construction / Debris Removal
Please upload any relevant certifications that match the above selections
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Please upload your driver's license
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Waiver of Liability and Hold Harmless Agreement
Acknowledgment of Risk: I, the undersigned, acknowledge that I am voluntarily participating in activities related to disaster response and recovery, including but not limited to physical labor, emotional support, logistics, travel, and interactions with impacted individuals and hazardous environments. I understand the inherent risks associated with these activities, which may include physical injury, emotional stress, exposure to extreme conditions, and other unpredictable dangers.
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Yes
No
Release and Waiver: In consideration for being permitted to volunteer with Silent Guardian, I hereby voluntarily waive, release, and forever discharge the organization, its officers, directors, staff, agents, and representatives from any and all liability, claims, demands, or causes of action that may arise from or relate to my participation in activities organized or sponsored by the organization. This waiver and release include, but are not limited to, claims for personal injury, illness, death, property damage, or economic loss, whether caused by negligence or otherwise.
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Yes
No
Assumption of Responsibility: I understand that I am responsible for my own conduct, safety, and actions while volunteering. I agree to comply with all rules, protocols, safety briefings, and guidance provided by Silent Guardian's leadership and designated team leads.
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Yes
No
Media Release: I hereby grant Silent Guardian permission to use any photos, audio or video footage taken during activities for promotional, educational, or fundraising purposes. I waive any rights of compensation or ownership regarding such materials.
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Yes
No
Legal and Binding Agreement: I understand this waiver is binding upon me, my heirs, legal representatives, and assigns. I have read and fully understand this Waiver of Liability and voluntarily agree to its terms.
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I Agree
I Disagree
Initials
*
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Volunteer Medical Self-Certification Form
All volunteers are required to complete this self-certification to affirm they are physically and mentally able to participate in disaster relief activities. This form is not a substitute for a physician’s examination, but helps ensure personal safety and appropriate deployment placement.
Health Conditions (Check all that apply)
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I have no known health conditions that would impair my ability to serve.
I have a chronic condition (e.g., diabetes, asthma) that is well-managed.
I have limitations on lifting, standing, or exposure to heat/cold.
Please list any allergies
I require the following medications regularly
Mental Health & Stress Considerations
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I feel emotionally prepared to operate in high-stress environments.
I have experienced trauma in the past and may require additional support.
I am currently under care for a mental health condition (optional to disclose).
Please list any medical conditions that could affect your ability to work
Please list any other medical information we should be aware of
I agree to inform Silent Guardian staff of any changes to my health status that could affect deployment safety.
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Yes
No
Initials
*
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Background Check Authorization
Silent Guardian requires background screening of all individuals participating in disaster response and volunteer operations. The information gathered will be used solely to determine eligibility for deployment and volunteer assignments. This background check may include, but is not limited to: Criminal history records (federal, state, local), Sex offender registries, Identity verification, Driving records (if applicable), National security watchlists.
References
Please provide 3 references who are NOT related to you.
Reference 1
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First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How do you know this person?
*
Reference 2
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How do you know this person?
*
Reference 3
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How do you know this person?
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I hereby authorize Silent Guardian and its designated agents to conduct a background investigation as described above. I understand that this may include obtaining information from law enforcement agencies, courts, and other sources. I release Silent Guardian and all associated agencies or companies from liability in obtaining and using this information.This authorization shall remain valid throughout the duration of my involvement with Silent Guardian unless revoked in writing.
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I agree
Initials
*
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I certify that the information I provided is accurate to the best of my knowledge.I understand that deployment may involve physical exertion, exposure to environmental hazards, and emotional stress.
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Yes
No
Signature
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Today's Date
*
-
Month
-
Day
Year
Date
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