topanga emergency status support t-cep
topanga emergency status click here support t-cep click here
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Support T-CEP
 

 

-    T-CEP Volunteer Application     

Please complete the volunteer application below
and click "submit your applications" when finished.

Your First Name: 
Your Last Name:
Your address
City, State, Zip/Postal Code:
Your Telephone number:
Your Cell number:
 Pager:
Your Fax number:
Your E-mail address:
 
 
Do you have a ham license?
Your call sign:
Computer Skills? yes no
PC MAC
What is your occupation?
Are you available during the day?
Volunteer experience?
Hobbies, Interests, Skills, Languages:
 
 
Emergency Services Training?
yes no
If yes, please explain:
 
 
I understand that if I use my own automobile in my volunteer service, I will keep in effect my automobile liability insurance as required by California.
Driver's License:
Insurance Co.
Policy #
 
 
Contact in case of Emergency:
 
Name:
Phone:
Volunteer Policy:
It is important for volunteers to follow procedures and act within the authorized scope of their duties. Volunteers who activate without authorization are considered to have been self-activated, and will be asked to turn in their ID badges and will be dropped from T-CEP.

 

Contact T-CEP:    310-455-3000   email: info@t-cep.org
P.O. Box 1708    Topanga, CA 90290   

 
 
  Copyright © 2006 T-CEP