Hurricane Readiness Team Application - Venetian Golf & River Club Community Association

Please complete this application and click SUBMIT at the bottom to send it
(If both home occupants are interested in serving on the HRT, please fill out separate forms)

My role preference and skill set for the HRT team is (check one or both): *

GENERAL ROLE
SECURITY TEAM

GENERAL ROLE

Includes such tasks as:

going door to door to check on well-being of residents after a hurricane
taking inventory of damage around the community
clearing of debris blocking road access
posting detour or other signage around the community

SECURITY TEAM

Includes such tasks as:

Staffing the Venetian Front Gate after departure of privacy patrol
Assist in the overall security of the VGRC as assigned.

Name *

First

Last

Venetian Address *

Address Line 1

City

State

Zip Code

Cell Phone

(it is assumed that this is the phone that receives text messages)

Email *

Do you have texting capability on your phone (Check Yes or No)?

Yes
No

Do you have a Golf Cart (Check Yes or No)? (not required)

Yes
No

List any special skills that may be valuable to the HRT

Please check any of the items on the list below that apply to you:

I have had CPR Training within the past three years
I have a Home Generator (HRT use only, not for VGRC resident use)
I have a Chain Saw
I am a Ham Radio Operator
I have served as a First Responder in my “previous life”

Is there anything else that you would like to add about yourself or your experience that would be relevant to this program?