FIU Disaster Volunteer Form

Florida International University's Disaster Volunteers is a cadre of trained and motivated FIU volunteers who may be called upon to assist the University with sheltering operations, administrative services, logistics support, call center operations or other disaster related tasks either before, during or after a disaster. Volunteers will be introduced to disaster preparedness, first aid, sheltering operations, etc. As an FIU Disaster Volunteer, you will have the opportunity to learn about emergency management, build upon your skillset, and help the University prepare for, respond to and recover from an emergency.

Thank you for taking an interest in serving as an FIU Disaster Volunteer. Please complete the form below.

Name Name * First Last
Panther ID *
Must be 7 characters. Currently Entered: 0 characters.
Relationship to FIU *

Relationship to FIU Faculty Staff Student Other Other
Department

For faculty or staff.
Title

For faculty or staff.
FIU Locations most frequented:

FIU Locations most frequented: Modesto Maidique Campus Biscayne Bay Campus FIU at I-75 Engineering Center FIU Downtown on Brickell Other Other
Are you a Member of the FIU Honors College? *

Are you a Member of the FIU Honors College? Yes No
Date of Birth Date of Birth / MM / DD YYYY
Phone Number Phone Number * - ### - ### ####

Please provide the best telephone number to reach you.
FIU Email *
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Languages Spoken *

Languages Spoken English Spanish Creole Other Other
T-Shirt Size:

A T-shirt may be provided to FIU Disaster Volunteers for easy identification.
Emergency Contact Name Emergency Contact Name * First Last
Relationship to Emergency Contact *
Emergency Contact Phone Number Emergency Contact Phone Number * - ### - ### ####
Please explain any limitations that we should consider when assigning you duties:
Do you have any talents or skills that you feel would benefit FIU Disaster Volunteers? *
Certifications/Licenses *

Please list relevant certifications in fields related to emergencies e.g. Medical, Logistics, Information Technology, Communications etc.
In order to be a FIU Disaster Volunteer, you must attend orientation. Orientation will be held at the FIU Emergency Operations Center, Parking Garage 5, room 275 on the Modesto Maidique Campus (MMC). To register for the orientation, please reserve your slot at:

Current Sessions planned are on:
TBD *

If you cannot attend the currently planned sessions, please select the "Cannot attend the sessions listed option and we will contact you via email once more sessions are organized.