Volunteer Registration Is this your first time attending training?*YesNoAre you an active member of a Southern Baptist Church or Baptist Collegiate Ministries, and at least age 18?*YesNoDisaster Relief training and certification is intended for individuals over 18 years of age and an active member of a Southern Baptist Church. If you do not meet these criteria, you are welcome to attend but you will not receive a cap or badge.Returning Volunteer InformationName* First Last Is your current badge expired or will it expire within the calendar year?*YesNoDisaster Relief Badge Expiration Date* If you do not have a badge please select "Yes" to the question about being your first time above and fill out all the form fields.New Volunteer InformationLegal Name* First Last Preferred Name Gender*MaleFemaleEmail Address* Enter Email Confirm Email Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Secondary PhoneWork PhoneZone*CentralNENWSESWCentral is Cleveland, McClain & Oklahoma Counties. I-35 & I-40 mark NE, NW, SE, SW.Church/BCM Name*Church/BCM City*Association (old field)AssociationNot SureArbuckleAtoka-CoalBannerBeckham-MillsBryanCaddoCapitalCentralGradyCimarronComanche-CottonConcord-KiowaCraig-MayesWashington-OsageEast CentralEnonFriscoJohnston-MarshallKayLeFloreMullinsMuskogeeNorth CanadianNortheasternNorthwesternPanhandleCherokee StripPittsburgPottawatomie-LincolnRogersSalt ForkSans BoisSouth CanadianSouthwestTillmanTulsa MetroUnionCherokeeChi-Ka-ShaChoctaw-ChickasawMuscogee-Seminole-WitchitaOtherChoctawDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Beneficiary's Name*Spouse's NameSpouse's Daytime PhoneAdditional InformationDo you have a CDL license?*YesNoCDL Class*CDL Endorsements*Please select training date and location you are attending*February 17, 2018-Lawton, FirstApril 7, 2018-Ponca City, FirstJune 16, 2018-Madill, FirstAugust 11, 2018-Enid, EmmanuelOctober –TBA-OKCLanguages Spoken* English Spanish Chinese (Mandarin) French Vietnamese Russian German Other Other Languages*Upon submission of this form you will be automatically redirected to a background check application form which you will need to complete prior to attending training. We will not process the background check until you have completed training.