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Duly Enrolled Volunteer Sign Up

Thank you for your interest in becoming a Duly Enrolled Volunteer with Lancaster Emergency Management Agency. Please take the next few minutes to answer 8 questions in this survey. 
There are 8 questions in this survey.
Personal Information
(This question is mandatory)
First Name
(This question is mandatory)
Last Name
Street Address 
City, State, Zipcode
Contact Information
This information will be used to contact you in the event that Lancaster Emergency Mangement Agency's Emergency Operations Center is activated and DEVs are needed.
(This question is mandatory)
Email Address
Work or Home Phone Number
Mobile Phone Number
Other Information
Below please desribe any additional information that you would like us to know. This can include ,but is not limited to, your prior volunteer experience, municipality, career experience or reason you are interested in becoming a Duly Enrolled Volunteer. 
Other Information:
 
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