Region 4 Medical Reserve Corps (MRC) of Southwest Washington

Thank you for your interest in joining our Medical Reserve Corps team!


There are a few steps and forms necessary in the application process which includes submission of the following application materials:

  1. Completion of this application webform
  2. Photo release form
  3. Background check authorization
  4. Additional paperwork to be collected as part of the onboarding process.

Completed forms can be emailed to us at region4mrc.ph@clark.wa.gov.


TIP: This form cannot be saved midway. Make sure you have the information handy prior to getting started.


If you have any questions, please contact us at 360.949.3169 or region4mrc.ph@clark.wa.gov