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425 N. El Dorado Street • Stockton, CA • 95202 • (209) 937-8097 • renee.johnston@ci.stockton.ca.us

Office of
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Volunteer Management
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Stockton Fire Department

CERT MEMBER CHECK IN

Choose one of the below CERT Branches in the Volunteer Position Drop Down Menu

CERT Fire Branch

CERT Law Branch

CERT Medical Branch

Volunteer Registration Form
* required

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Volunteer Position*
First Name*
Last Name*
Address*
City*
Zip*
Daytime Phone*
Evening Phone*
Email
List Skills
Organization
Please indicate the days of week your are available for and the time of day (Morning, Afternoon, Evening, or Anytime)? Example: Evenings on Mon-Fri, Sat Mornings, Sun Afternoon

It you are interested in volunteering with the Stockton Fire Department CERT Program contact Renee Johnston. Phone: 209-937-8097 E-mail: renee.johnston@ci.stockton.ca.us