Join CERT

Fields marked with an * are required.

Name:*

First

Last

Date of Birth:*

E-mail:*

E-mail confirmation:*

Home Address:*

Street AddressCityState / Province / RegionPostal / Zip Code

Home Phone:

Area Code

Phone Number

Cell Phone:

Area Code

Phone Number

Have you ever been convicted of a crime?*

Yes

If convicted, please explain and give disposition.

How did you hear about the Sacramento Fire Dept. CERT Program?*

If you have a disability, what accommodations would you need to attend the training program?

Are you interested in advancing to Level 2 or Level 1 and becoming a volunteer with our organization?*

Yes

Do you have a 3/4 or 1 ton truck capable of towing a trailer?*

Yes

What in particular attracted you to SFD CERT organization?*

By submitting my application, I am asking to be considered to receive approximately 24 hours of Community Emergency Response Training. Furthermore, I agree to attend and participate in all classes, and the graduation exercise. Training is throughout the year, but usually is during weekdays evening hours (6-9 pm) and / or on Saturdays.*

Yes

I understand that a background investigation and fingerprinting will be required before placement in any sensitive volunteer position. In some placements TB testing is required.*

Yes

I authorize investigation of all statements contained in this application and any supporting documents and I understand that a background check may be conducted.*

Yes

I authorize the City of Sacramento and its non-profit partners to secure information from the references I have provided, and release all parties from any liability arising from such investigation.*

Yes

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