Salem NH Citizen Corps Volunteer Form

If you are willing to be listed as a Salem, NH volunteer to assist in Citizen Corps activities related to emergency preparedness and disaster response, fill out the form below. You will be contacted by a member of the Salem Citizen Corps Council to confirm your volunteer status. You may submit the completed form by email with the Submit Form Button or print this page and mail it to:

Fire Department Headquarters, Attn: Citizen Corps Council
152 Main Street
Salem NH 03079

Volunteer Form

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Please enter a return email Address  

 First Name Middile Initial (John J)  

Last Name (Doe Jr)

Address

Adderss 2

City   State   Zipcode

Home Phone (1115551212)    Cell Phone

Work Phone