Citizen Corps Volunteer Question Title * First Name Question Title * Last Name Question Title * Address Line 1 Line 2 City State Municipality Zip Code Question Title * Contact Phone Number Question Title * Email Address Question Title * Have you ever been arrested or convicted of any criminal offense? Yes No Question Title * Which emergency service would you like to volunteer for? Critical Incident Stress Management Team Medical Reserve Corps Community Emergency Response Team Animal Response Team Amateur Radio Emergency Services Other Question Title * Do you have any medical skills or certifications? Yes No Question Title * Any special certifications/skills/experiences you would like to list Question Title * Terms of Service By checking this box, I pledge to provide only correct information when completing this registration process. I certify that all answers made by me are true. I also give consent to Delaware County Department of Emergency Services to collect, use, and verify any information that is collected through the use of this site. Submit