PCCR - Volunteer Crisis Response Signup

PCCR - Volunteer Crisis Response Signup

Thank you for your interest in serving with Plain Compassion Crisis Response.

If you have any questions, comments, or need help with filling out this application, please call us at 717-915-9770.

Crisis Location*

Which Location are you applying for?

North Carolina Cleanup

Personal

First Name*

Middle Initial*

Last Name*

Street Address*

Check this box if your mailing address is different from your physical address

Mailing Address Different

Mailing Address

City*

State / Province*

Please use the two-letter abbreviation for your state (with capital letters). For example: PA

Postal / Zip Code*

Country*

Select or enter value

Age*

Phone Number*

Email*

Secondary Contact Name*

(another person to call if we need to confirm info on the application)

Secondary Contact Phone Number*

If your emergency contact person is a different person than your secondary contact person, check this box

Emergency Contact Name

Emergency Contact Phone Number

Work

Are you willing to adapt and serve in various roles as needed, given the constantly changing needs?*

Yes

If no, what capacity are you wanting to serve in?*

Volunteers for cleanup efforts.*

Number of volunteers I will be bringing for cleanup (including myself).

Volunteers for cleaning and cooking.*

If you have ladies or additional people who would stay at the lodging facility to help clean and cook, enter that number here. If zero, enter 0

Volunteers to sort and organize supplies for distribution*

Number of volunteers I will be bringing to sort and organize (including myself). If zero, enter 0.

Work Start Date*

What date will you be ready to start work? (8:00 AM start time to receive assignment)

Clean up efforts on Sundays stop once urgent needs and road clearing are addressed, typically only the first Sunday.

Work End Date*

What is the last day you will be working?

Equipment You Will Be Bringing

Chainsaw*

How many chainsaws are you bringing? If zero, enter 0

Mini - Excavator*

How many Mini-Excavators are you bringing? If zero, enter 0

Skid Loader*

How many skid loaders (with grapple bucket attachments) are you bringing? If zero, enter 0

Note: Skid loaders are 'highly recommended' to have tracks. Skid loaders with wheels 'may or may not' work on this project.

Dump Trailer*

How many dump trailers are you bringing? If zero, enter 0

Work Truck*

How many work trucks are you bringing (available to pull trailers if needed)? If zero, enter 0

Other Tools / Equipment

Small cleanup tools are needed, such as yard and garden rakes, shovels, leaf blowers, etc.

Small hand tools such as hammers, pry bars, etc for potential minor demo work would also be helpful.

Skills / Training

List any skills or trainings that you have that may be of use.

Lodging

Lodging Needed*

Will you be needing lodging? (There is no charge for lodging at this time.)

Yes

Lodging Check-In Date*

Arrive before 9:00 PM for lodging. If planning to arrive later than that, call ahead to make arrangements.

Lodging Checkout Date*

Couples*

Of the total amount of people needing lodging, how many couples are there? If zero, enter 0

Men*

Of the total amount of people needing lodging, how many are men for the men's dorm? If zero, enter 0

Women*

Of the total amount of people needing lodging, how many are women for the women's dorm? If zero, enter 0

Confirmation

Check if you do NOT want email updates.

Generally, all volunteers are added to the database to receive the PCCR email updates. If you do NOT wish to receive the email updates, please check the box below.

Do you want to be notified of volunteer opportunities within the US in the future?*

Yes

How would you like to be contacted?*

Call

Text

I am volunteering at my own risk.*

I understand that I am volunteering at my own risk. I will not hold PCCR responsible for any accidents or damage incurred to or by myself and my property or anyone on my team and their property. By checking below, I affirm that I understand and agree to all stipulations in this form, and that all information I have entered on this form is true and correct to the best of my knowledge.

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