Ohio Responds (training):

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Registration

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Organizations

Organizations represent official groups that you have affiliation with as an Ohio Responds volunteer, such as Medical Reserve Corps, Community Emergency Response Teams, and Fire Corps. Click the Select Organizations link below to see a complete list of organizations and select those you want to join.

Add Organizations

Required field

Organization(s):

Account Information

Creating an account is the first step in the Ohio Responds Volunteer Registry (training) registration process. You will use your account username and password each time you log into Ohio Responds Volunteer Registry (training).

Required field

Username:

The username must be at least six (6) characters long and cannot contain spaces. Acceptable characters include alphanumeric (A-Z, 0-9) and the symbols @, ., -, and _. Usernames are not case sensitive.

Required field

Password:

Required field

Confirm Password:

Required field

Secret Question:

Required field

Secret Answer:

Terms of Service and Privacy Policy

Required field Terms of Service:

By checking this box, I indicate that I agree to the Terms of Service and have read and understand the Privacy Policy for this site. My submission of this form will constitute my consent to the collection and use of this information and the transfer of this information across the Internet to processing and storage facilities supporting this system. I also agree to receive required administrative and legal notices such as this electronically.

Required field Information Pledge:

By checking this box, I pledge to provide only correct information when completing this registration process. I also give consent to Ohio Responds Volunteer Registry (training) and their designated agents to collect, use, verify, and maintain any information that is collected through the use of this site.

Liability Protection Requirement

Required field Liability Protection:

I understand that in order to maintain the liability protection provided in the Ohio Admin Code 121:40-1-04, I must meet the requirements to be registered as a volunteer under section 5502.281 of the Revised Code. I must be no less than 18 years of age; I must complete the application; I must be willing to submit to a comprehensive background check administered by the Ohio bureau of criminal investigation or other designated agency. Background checks will be at the discretion of the affiliated registered volunteer organization; During a response incident, a local government authority may also request a background check.

Name and Address

Prefix:

Example: Dr., Col., Mr., Mrs., Ms.

Required field

First Name:

Middle Name:

Required field

Last Name:

Suffix:

Example: Jr., Sr., MD., PhD, RN

Required field

Address Line 1:

Address Line 2:

Required field

City:

Required field

State:

Required field

County:

Ethnicity / Race:

Select one or more options

Required field

Zip Code:

Work State:

Alternate Address Line 1:

Alternate Address Line 2:

City:

State:

County:

Zip Code:

Contact Information

Primary Email Address

Email Address:

If you have an email account, it is important for you to provide this information. Without your email address, you may miss important messages and notifications. Please note that the system will not allow two accounts with the same email address. If you do not have an email address or your email address is already registered with the system, you can learn more about obtaining a free email address by clicking here.

Confirm Email Address:

Add Email Address

Contact Method 1

Required field

Contact Method 1:

Required field

Number to Attempt:

x

Required field

Pager Type:

Required field

Pager Carrier:

Pager ID/PIN:

Add Another Contact Method

Occupation Information

Required field

What is your occupation type?

Required field

Occupation:

If your occupation does not appear in the list, please select Other.

Required field

What is your current professional status for this occupation?