T-CEP - the Topanga Coalition for Emergency Preparedness

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