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CERT Training sign-up

  1. CERT Logo
  2. Community Emergency Response Team Training Application
  3. Are you currently certified in:
  4. Licensed Amateur Radio Operator? (if yes indicate call-sign and class)
  5. Are you Licensed in any of these fields?
  6. Do you feel you are physically Fit to participate in this program?
  7. Are you previously CERT qualified
  8. CERT Training

    After submission of this application, you will receive a correspondence from the CERT Coordinator, Mr. Scotty Johnson, with additional information.

  9. Leave This Blank:

  10. This field is not part of the form submission.