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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your preferred name? (i.e. What should we call you?)

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* 4. What is your mailing address?

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* 5. What is the best phone number at which to reach you?

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* 6. What is your preferred e-mail address?

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* 7. How would you prefer to be contacted? (check all that apply)

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* 8. What is your home church?

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* 9. Are you registering as an individual or as a group?

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* 10. Have you completed an official ERT training course?

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* 11. When are you available to volunteer? (please select all that apply)

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* 12. What skills do you bring to the team? (please select all that apply)

Thank you for taking the time to fill out this form and survey and more so for your willingness to serve. Please note that by filling out this form it does not obligate you or your team to accept a volunteer position if offered, nor does it guarantee that you will be called to serve. Those members of the conference who have completed official ERT training will always be the conference's first responders in an emergency situation. If you'd like more information on how to take that training, see the CTC Disaster Response page or contact Laraine Waughtal (revlaraine@yahoo.com). The Central Texas Conference Emergency Response team will keep your name in the volunteer database for a minimum of one year unless you contact the Central Texas Conference Service Center (DawnePhillips@ctcumc.org) and request to be removed.

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