*First Name *Last Name Chapter Affiliation

RED CROSS STUDENT # (If Known) DSHR# (If Known)

Home # Cell #   E-Mail Address

You will receive a confirmation E-mail within 48 Hours. -

Oct 19^th – Logistics - 6:00 - Lackawanna County EOC

Oct 20th - Psy. First Aid - Site to be determined

Oct 23 & 24 - Mass Care TWO - Wyoming Valley Chapter House

Oct. 27th - Health Services - Introduction (Required by all HS Volunteers) - Lackawanna County EOC

Oct 30th & Oct 31 - Collaborating to Ensure Effective Service Delivery - Wyoming Valley Chapter

Nov. 20th - Frontline Supervisor - Lackawanna County Chapter House

Brian Wrightson - ES Director - Bwrightson@neparc.org

Pat Reid - ES Coordinator - Preid@neparc.org - Lackawanna

Terry Bates - ES Coordinator - BatesTe@usa.redcross.org - - Wyoming Valley

SELECT YOUR CLASS

Please submit Each Class Separately!

None Logisitics - Oct 19th Psy 1st Aid - Oct 20th Mass Care II - Oct 23 - 24 Health Services - Intro Oct 27th Collaborating to Ensure - Oct 30 - 31 Frontline Supervisor - Nov 20th