Essex County CART Application – Essex County, Health Department

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MRC/CART Application

Application; required agreements and training requirements for the MRC & CART.

Name*

First

Last

Email*

ESSEX COUNTY ANIMAL RESPONSE TEAM (CART) SPECIALTY GROUP By submitting this form you are applying to join the Essex County Animal Response Team (CART) - a specialty team of the MRC. You understand you must agree to the Empire State Animal Response Team/Essex CART Code of Conduct and complete 4 additional trainings to be part of the CART. You understand that the CART Planning Committee reviews all applications and determines at their discretion if the application is Accepted or Ineligible/Unsuitable to serve as a CART volunteer.*

YES - I am applying to join the CART specialty group

YES- I agree with the CART Code of Conduct

YES - I know I must complete 4 additional Trainings

YES - I understand my application is reviewed by the CART Planning Committee and will be determined to be accepted or ineligible/unsuitable at their discretion.

ANIMAL EXPERIENCE: Select the types of animals with which you have experience and want to be involved in for CART responses. We categorize as animals as Small (household pets such as cats, dogs, ferrets, bunnies, etc.); Large (horses, cattle, and all types of livestock)*

Date*

Phone

ADDITIONAL ACCOUNTS FOR TRAINING: You will need to create & use a FEMA account to complete IS-100 and IS-700. You may also use your FEMA account to complete a Hazardous Materials training [or attend a HazMat training in person]. You will need to create a UAlbany Center for Public Health Preparedness account to complete a CART Orientation Training [or attend a CART/ESART Orientation Training in person]. We recommend you keep all account usernames and passwords on file in a safe place for your reference.*

YES - I will use my FEMA account and complete IS 100 & ICS 700

YES - I will complete an Intro to HazMat Training

YES - I will complete a CART Orientation Training

Home Emergency Prep & Response Volunteer with the Essex County Health Department Essex County CART Application