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ABOUT US
WHAT WE DO
HOW WE WORK
WHY US
JOIN US
ABOUT US
WHAT WE DO
HOW WE WORK
WHY US
JOIN US
CRN Volunteer Registration Form
Join the Community Resilience Network to support disaster preparedness and response.
1.1 Full Name
1.2 NIC Number
1.3 Date of Birth
1.4 Gender
Male
Female
Other
1.5 Address
1.6 District
1.7 DS Division
1.8 GN Division
1.9 Mobile Number
1.10 Email Address
1.11 Occupation / Workplace(Optional)
1.12 Organization / Group Affilition(Optional)
1.13 Upload Profile Photo(Optional)
2.1 Select all applicable skills
First Aid & Basic Life Support
Search & Rescue
Emergency Medical Response
Data Entry / Communications
Logistics & Supply Distribution
Warehouse Management
Crowd Management/Public Safety
Swimming / Water Rescue
Fire Safety & Evacuation
Driving (Light Vehicle)
Driving (Heavy Vehicle-License Required)
Mechanical / Technical Repair Skills
Construction / Debris Clearing
Counseling / Psychosocial Support
Community Mobilization
Drone Operation / Aerial Mapping
Language Skills / Translation
Leadership / Team Coordination
3.1 Upload Certifications / Licenses (Optional)
3.2 List any specialized equipment you can bring (Optional)
3.3 Rate your experience level
Beginner
Intermediate
Advanced
3.4 Available for (Select all that apply)
Immediate Response (within 1-3 hours)
Short-term Response (Same day)
Weekdays
Weekends
Night-time Response
Full-time Deployment (Multi-day)
On-call Emergency Deployment
Remote/Online Support
3.5 Preferred Deployment District(s)
3.6 Physical Fitness Level
Low
Moderate
High
3.7 Willing to work in high-risk areas?
Yes
No
3.8 Previously volunteered in emergencies?
Yes
No
3.9 If yes, briefly describe your experience.
4.1 Do you have access to any of the following?
Motorbike
Three-wheeler
Car / Van
Lorry / Pickup
Boat / Raft
Safety Gear (PPE, Helmets, Life Jackets)
Tools (Shovels, Chainsaws, Ropes, Etc.)
ICT Equipment (Laptop, Hotspot, Radio)
4.2 Are you willing to offer these resources during deployment?
Yes
No
Case-by-case
5.1 Name
5.2 Relationship
5.3 Contact Number
5.4 Alternative Contact (Optional)
6.1 If Yes, Specify
6.2 Blood Group (Optional)
6.3 Allergies (Optional)
6.4 Vaccination Status (Tetanus, Hepatitis, COVID-19, etc.) - Optional
I confirm that I am physically and mentally fit to volunteer in emergency operations.
I agree to follow CRN operational guidelines, safety rules, and reporting protocols.
I understand that CRN deployments may involve risk, physical activity, and emergency environments.
I give consent to be contacted via phone, SMS, or digital channels for volunteer activities and emergency operations.
I confirm that all details provided are accurate to the best of my knowledge.
Signature / Digital Acknowledgment (Type Full Name)
Date
Send
