16 East 16th Street
Tulsa, OK  74119
918 585-5551


Member of the
Points of Light Foundation and Volunteer Center National Network

 

Citizen Corps Sign Up Form

Volunteer Today!

Please Fill Out The Following Form And Press Submit At The Bottom Of The Page To Send Your Information To Us

*Denotes Required Fields

*First Name:
*Last Name:
Company:
*Address:
*City:  
*State:  
*Zip:  
Email:
 
Phone  
Work:
Home:

Cell:

 
I'm Available
"On-Call" Before/After hours (9PM - 7AM)

Weekdays (Mon-Fri)
Mornings
Afternoons/
Evenings
Weekends (Sat-Sun)
Mornings
Afternoons
Evenings

I am interested in listing my skills and interests so that I can work when needed to assist with making Tulsa a safer community

Language/Culture Bank
Language:
Culture of: country/ethnicity  
Culture of: faith

Tulsa Human Response Coalition
Disaster recovery/casework
Disaster education
Construction: Structural or non-structural mitigation
Mental health professional
Area of expertise:
Human service professional
Area of expertise 
Assisting mental health or human service professionals
Computer skills

Details:

Other Skills

Details:

I am interested in an on-going volunteer position with one or more of the Citizen Corps focus groups:
CERT
Safe and Secure
VIPS
Medical Reserve Corps
Public Health initiatives, Public Safety issues, and Disaster Relief agencies
Other non-profits:
     Specify area of interest:

Please fill out these important demographics. They are required by the provider of the grant. Thank you.
Please select the appropriate options:
I am a Veteran
Sex
Male
Female
I am:
age 54 or younger
age 55-59
age 60-65
age 66-70
age 71 or older
contact us | volunteer now | cvc | tava | kids in action | read now | citizen corps
>> site contributed by www.bergenroth.net