Sweeny Elementary Fema Safe Room Volunteer Registration Form

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Sweeny Elementary FEMA Safe Room Volunteer Registration Form
Please complete and return to Republic School District 518 N. Hampton, Republic MO 65738
Volunteer Job Description
:
(keep in mind a district employee will be on‐site in most cases to assist)
Ensure that Safe Room occupants enter the facility in an orderly fashion and check‐in as appropriate.
Close and secure Safe Room doors based upon imminent approach of a tornado.
Ready the FEMA Safe Room for occupancy during a tornado watch if needed.
Open FEMA Safe Room to the public during a tornado warning if needed.
Enforce rules and guidelines of the FEMA Safe Room as presented by the district.
Monitor weather situation via provided radio and resources. Willingness to utilize personal cell phone if needed.
Administer any first‐aid supplies as appropriate.
Complete required National Incident Management System courses required by FEMA (6 hours total, can be done online).
Complete a volunteer background check through the district.
Name: ________________________________________________________________ Date: ____________________________________
Phone: ______________________________________________ Email: _____________________________________________________
Address:___________________________________________________________________________________________________________
Approximate Distance from Sweeny Elementary FEMA Safe Room: _________________________________________
Please indicate the days of the week and times you would be available.
Sunday
_______ a.m. p.m. to _______ a.m. p.m.
Monday
_______ a.m. p.m. to _______ a.m. p.m.
Tuesday
_______ a.m. p.m. to _______ a.m. p.m.
Wednesday _______ a.m. p.m. to _______ a.m. p.m.
Thursday
_______ a.m. p.m. to _______ a.m. p.m.
Friday
_______ a.m. p.m. to _______ a.m. p.m.
Saturday
_______ a.m. p.m. to _______ a.m. p.m.
Have you had a background check completed through Republic School District (either as an
employee or volunteer)?
Yes
No
Have you completed any National Incident Management System courses?
Yes
No
Please list courses taken:

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