Join CERT Fields marked with an * are required. Please enable JavaScript in your browser to complete this form.First Name *Last Name *Date of Birth *Email *Street Address *City *State *Zip Code *Phone *Have you ever been convicted of a crime? *YesNoHow did you hear about the Sacramento Fire Dept. CERT Program? *Are you interested in becoming an advanced level member?YesNoAdvanced level members can be deployed to disasters across California for up to 2 weeks at a time.Do you have a 3/4 or 1 ton truck capable of towing a trailer? *YesNoWhat 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 classes are held on weekdays during evening hours (6-9 pm) and / or on Saturdays. *I AcceptI understand that a background investigation and fingerprinting will be required before placement in any sensitive volunteer position. In some placements TB testing is required.I AcceptI authorize investigation of all statements contained in this application and any supporting documents and I understand that a background check may be conducted. *I AcceptI 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. *I AcceptSubmit