CWS Volunteer Application

Please direct any comments or questions to our volunteer coordinator Katy Hart, by emailing katy.hart@wildsafe.org.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
I Live Near*

Street Address

Street Address Line 2

CityState

Zip Code
Locations that I'm Interested in:*

Northern VirginiaColorado (Denver area)MarylandMontana (Flathead area)New Jersey (North / Central)Pennsylvania (Pittsburgh area)Pennsylvania (Central)Pennsylvania (Eastern / Philly)West Virginia
My Medical Training Includes:

NO MEDICAL TRAININGCPR + First AidWilderness First AidFirst Responder or WFREMT or WEMTParamedic, RN, PAMD, DO, etc.Other
I am interested in volunteering as a "victim" for wilderness medicine classes*
I acknowledge that I will not be reimbursed by CWS for any expenses incurred while volunteering (including fuel usage traveling to and from events).*

I Acknowledge and Understand.
Additional Skills / Interests:
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