Individuals who wish to volunteer for City of Effingham Emergency Community Safe Room Operations must sign up before volunteering.

Before you start

Choose an emergency contact and their phone number
Gather any applicable medical training or certification records

What to do

Fill out and submit the online form below, or
Complete and print the fillable application, and
- Email Larry Thies or
- Drop off in person at the City of Effingham Emergency Management Agency

What's next

After receiving your application, a background check will be conducted. After that, you will be notified of upcoming training sessions which will focus on shelter operations and safety protocols.

About You
Your Name(Required)
First Middle Last
How Can We Reach You?
What is the best number to contact you when your volunteer services are needed?
Your Phone(Required)
Your Email Address(Required)
Email Address Confirm Email Address
Emergency Contact Information
Who can we contact if an emergency happens while you are volunteering?
Emergency Contact Name(Required)
First Last
Emergency Contact Phone(Required)
When are you normally available?
Please let us know when you would be available to volunteer.
Availability(Required)
Check all that apply.
- Weekdays
- Weekends
- Days
- Nights
- Anytime
Medical Training or Certifications
Please let us know about any medical training or certifications you may have.
Notes or Comments
Please tell us any other relevant information you wish to share.
Consent(Required)
I agree.
By clicking on “I Agree” above and typing your name below, you acknowledge and agree to the following:
-I agree that my electronic signature is the equivalent of a manual signature and that the City of Effingham, Illinois, may rely on it as such;
-I agree that all information provided by me above is true and accurate to the best of my knowledge.
Electronic Signature(Required)
First Last
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Volunteer for EMA

Before you start

What to do

What's next

About You

How Can We Reach You?

Emergency Contact Information

When are you normally available?

Download Volunteer sign up form

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