Register for Neighbors Helping Neighbors

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Neighbors Helping Neighbors

Use this form to register for Neighbors Helping Neighbors, a program sponsored by the Baltimore County Office of Homeland Security and Emergency Management and designed to teach citizens how to get through the first 72 hours following a disaster.

Baltimore County Office of Homeland Security and Emergency Management
700 East Joppa Raod, 4th Floor
Towson, MD 21286-5500

For questions, please call 410-887-2715, fax 410-337-7445 or e-mail volunteers@baltimorecountymd.gov.

First Name«

Last Name«

Address«

City/County«

State«

Zip Code«

Home Telephone«

Work Telephone

Cellular Phone

Pager

E-mail Address«

Special Skills/Training * No Experience Necessary

First Aid/CPR	Construction
Military	Law Enforcement
Electrical	Fire/Rescue
Administrative	Photography
Additional Language Skills

If you checked any of the above boxes, please explain your special skills below

Emergency Contact Name«

Emergency Contact Address«

Emergency Contact Telephone«

Fields marked with "«" are required.