Oldham County Emergency Management: Disaster and Emergency Assistance Volunteer Sign Up

Oldham County Emergency Management Disaster and Emergency Assistance Volunteer Sign Up
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Are you over the age of 18?*
Best way to contact you?

CallText
Emergency Contact Name (Not working the disaster)*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Skills*

First Aid and CPR CertifiedEMT / Paramedic CertificationGround SearchingK9 SearchTruck and Trailer DrivingHeavy Equipment Operations (skid steer, forklift, etc.)Shelter ManagementFeeding / Food ServicesForeign Language (list below in Skillsets)Boat Owner and Operator4x4 vehicle/ATV/UTV OperatorOther (list in Skillsets below)

Availability*

Are you willing to work in physically demanding or outdoor environments?*
Skillsets or Area of Interests*
Do you have any physical limitations or restrictions we should know about? (optional)
Comments
Thank you for signing up to volunteer. We appreciate your willingness to support Oldham County, its first responders, and residents. If your assistance is needed, Oldham County Emergency Management will contact you with the next steps and assignment details.

If you have any questions, email us at zwilt@oldhamcountyky.gov
Should be Empty:

Oldham County Emergency Management Disaster and Emergency Assistance Volunteer Sign Up