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CERT/RACES Application

  1. Community Emergency Response Team (CERT)/ Radio Amateur Civil Emergency Service (RACES) Volunteers Application
    Please fill out below required fields.
  2. Please fill out below only if applying for CERT
  3. If you do not have one yet, use CERT123
  4. Use the town where you were trained.
  5. The last day of training.
  6. Please fill out below only if applying for RACES
  7. Do you currently or have you ever been a member of a RACES Unit
  8. Have you ever been active in an emergency as an Amateur Radio Operator?
  9. Have you taken any NIMS training?
  10. By checking this box, you acknowledge that volunteers for Queen Anne's County Department of Emergency Services are subject to a background investigation and vetting process.*
  11. Leave This Blank:

  12. This field is not part of the form submission.