VOLUNTEER APPLICATION - Minuteman Disaster Response

First Name * This Field is Required

Last Name * This Field is Required

Street Address * This Field is Required

City* This Field is Required

State* This Field is Required

Zip Code* This Field is Required

Shirt Size* This Field is Required

Gender*

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Birthday *

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Cell Phone * This Field is Required Please give a valid phone number.

Email * This Field is Required.

Emergency Contact * This Field is Required

Emergency Contact Phone * This Field is Required

Medication Allergies

Upload Profile Picture* This Field is Required

This photo will be used for your official MDR ID Badge. Please upload a clear headshot of yourself with a plain, solid background (light-colored preferred), facing forward, and with no hats, sunglasses or other people in the frame. Accepted file types are JPG or PNG. Photos that do not meet these requirements will delay your volunteer onboarding.

Background Information

Please list any organizations and skills, related or unrelated, that pertain to Disaster Relief

How Did You Hear About Us?* This Field is Required

Personal Declarations

Do you fully understand and agree that your involvement as a volunteer with this team is “at will” and may be discontinued at any time due to code of conduct violations, failure to perform, or any other disruptive behavior or attitude, as determined by MDR Leadership or Board of Directors?*

Yes This Field is Required

Do you consent to submit the required information for a background check facilitated by a third party as part of your volunteer onboarding process.*

Yes This Field is Required

If you are not able to select “Yes” on the declarations above, you will not be able to submit a volunteer application.

I authorize Minuteman Disaster Response (MDR) to conduct an investigation of all information contained in this application for membership, and I release from all liability Minuteman Disaster Response and all companies and corporations supplying such information. I understand that any false answers, statements or implications made by me shall be considered sufficient cause for discharge.

I hereby agree to submit to any drug test or criminal background screening that may be required. During my membership period, I understand and agree that if I receive medical treatment for a physical, psychological, emotional, or psychiatric condition that may impact my membership, or am involved in any criminal offenseI will notify the Executive Director.

I understand that by applying to MDR, I am acknowledging and agreeing to abide by all elements of the Code of Conduct as written. Furthermore, by applying to MDR, I acknowledge and agree that failure to abide by any of the elements of the Code of Conduct, whether in fact or in spirit, will be grounds for immediate dismissal from the organization.

I have read and understand the above.

Please fix the error(s) above

Thank you for your interest in volunteering with Minuteman Disaster Response!

We’re excited you’ve taken the first step toward joining our mission. After submitting your application, you’ll receive an email with login credentials for the MDR Volunteer Portal. Please allow up to 10 minutes for this email to arrive - be sure to check your Spam or Junk folder if you don’t see it.

Important: You are not yet an active volunteer or eligible for deployment.

Please complete the required steps of the onboarding process:

Sign the Code of Conduct & Liability Waiver
Submit Background Check Information
Complete Basic Training

Once all steps are completed, you will receive your welcome package and namebadge. We look forward to serving with you! For any issues, you can contact us at info@minutemanresponse.org.