Southwest Virginia Region Six VOAD Member Application

Southwest Virginia Region Six VOAD Membership Application

  • Please provide the organization's mission statement. Include information on disaster program if applicable.
    Please check any services your organization provides and/or any equipment available during times of disaster
  • Section Break

    State the name and contact information of the primary and secondary contacts for Southwest Virginia Region Six VOAD. These persons must provide complete information for each category and be willing to be reached at any time in the case of emergency.