Register Your Program

If your organization uses non-operational citizen advocates, we'd like to feature it in the Fire Corps database. All registrants within the Fire Corps database are either Fire/EMS Departments or affiliated groups who are working directly and in concert with a Fire/EMS Department.

Your submission must be reviewed by the Fire Corps staff before the registration process is complete.

* Indicates Required Field.

* Email Address:

Please enter your email address. You will use this email address to login to the Fire Corps Database area to update your program information.

* Password:

* Confirm Password:

* Organization Name:

* Address 1:

Address 2:

* City:

* State:

* Zip:

Administrative Contact

We will contact this person if we have questions about this listing; this contact information will not be listed on the website.

* Administrative Contact Name:

** Administrative Contact Phone:

Administrative Contact Fax:

** Administrative Contact Email:

** You must provide a phone number or an email address.

Check this box if the Program Contact is the same as the Administrative Contact.

Program Contact

This contact information will be listed on the website; we recommend that this contact be a volunteer coordinator or someone who can answer questions about the program.

* Program Contact Name or Title:

** Program Contact Phone:

Program Contact Fax:

** Program Contact Email:

** You must provide a phone number or an email address.

Program Information

What year was your organization founded and/or did you begin incorporating non-operational citizen advocates?

How many active non-operational citizen advocates participate in your program?

How many hours did your non-operational citizen advocates contribute last year?

Does your non-operational citizen advocate program have a website? If so, please provide the website address:

Does your organization have a website? If so, please provide the website address:

* What is your category of fire or EMS department?

Career	Combination
Volunteer	Other

Is there a Citizen Corps council in your area?

Yes No Unknown

If yes, are they aware of the start of your Fire Corps program?

Yes No

Does your organization sponsor or help train CERT (Community Emergency Response Team) volunteers?

Yes No

Category:
Please select any and all tasks below that your citizen advocates perform.

Administrative	Auxiliary
Bookkeeping	Chaplain Corps
Explorer Post	Fundraising Initiatives
Grant Writing	Incident Report/Data Management
Life Safety Education	Special Projects
Website Developer	Other
If other, please specify:

Program Description:

File Upload Option:
Please upload any relevant forms (ie. application, documentation) needed by prospective citizen advocate.

Register Your Program

Resources