Disaster Response Team Registration

Disaster Response Team Registration

Provide details for your eligible, background-checked and MinistrySafe-trained team members.
Important: For purposes of this form, please include only team members who have completed both a current background check and MinistrySafe Preventing Sexual Abuse training
Team Name or Home Church
Home Church Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Team Leader Name

First NameMiddle NameLast Name
Team Leader Phone
Please enter a valid phone number.Format: (000) 000-0000.
Team Leader Email
example@example.com
Assistant Team Leader Name

First NameMiddle NameLast Name
Assistant Team Leader Phone
Please enter a valid phone number.Format: (000) 000-0000.
Assistant Team Leader Email
example@example.com
Screened and Trained Team Members
Total Number of Eligible Team Members
Number of Male Volunteers
Number of Female Volunteers
Background Check Information
Service or organization used to conduct background checks
Who maintains the background-check records?

Other
Disaster Response Training
Number of team members who completed Basic Disaster Response Team (DRT) Training
Who provided or taught the DRT training?
Number of team members who currently have identification badges
Deployment Information
Number of Team Members Available for Deployment
Number of Days Prepared to Deploy
Deployment Accommodations or Support Needed

Other
Administrative
Deployed to Basecamp
Deployed Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Deployment Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Dispatcher Notes - Section A
Dispatcher Notes - Section B
Should be Empty:

Disaster Response Team Registration

Important: For purposes of this form, please include only team members who have completed both a current background check and MinistrySafe Preventing Sexual Abuse training

Screened and Trained Team Members

Background Check Information

Disaster Response Training

Deployment Information

Administrative