Fill in the best answer to each question below. When you are finished, fill in your contact information in the form below the test questions. Your test will be graded by a Health Department representative. Your certificate of completion will be sent via e-mail (snail mail if no e-mail address is given) provided you pass the test with a score of 70% or better.
In the event of an emergency it is very important that the Health Department is able to contact voluteers with the necessary training to set-up and run its PODs. In an effort to keep this information as current as possible; the Shasta County Health Department has developed the form below. When you have completed filling in the form please click the Send button to send your information to the Health Department's Disaster Healthcare Volunteer Coordinator.
If you use a web based e-mail system like hotmail or g-mail this form may not automatically send. To download a Word version of the form which can be printed or sent as an attachment: Click here for the Shasta County form.
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