Volunteer Form

CERT Volunteer Form

To become a CERT member you must be at least 18 years old and need to complete the 24-hour basic training session. Typically the training includes eight sessions, seven skill building sessions and a final session that is a disaster simulation in which participants are able to practice the skills they have learned throughout the course. Training is offered free of charge by the Sedgwick County Division of Public Safety. Upon training completion, each CERT member will receive a CERT backpack with various disaster response materials.

CERT members maintain and refine their skills by participating in refresher classes and exercises. They can attend supplemental training opportunities offered by the sponsoring agency and others that further their skills base. In addition, CERT members can help educate the public on disaster preparedness, while also informing them about what CERT is.

How do I sign up for training?

You may sign up for training to become a CERT member by completing the below form. For more information about education and training, please contact the Sedgwick County Division of Public Safety at 316-660-9393.

First Name: Last Name:

Your Age: (Must be at least 18 years old)

Address 1:

Address 2:

City: State:

Zip:

Phone numbers:
Please include the area code for the phone numbers listed.

Home:
Work:
Cellular:
Pager:

E-Mail:

Form Validation:
Enter the code displayed in the box next to the form field in lower case: