Re-Certifiacation Starts Here Name*FirstLast Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Phone-Area Code* Area Code – Phone Number Email* By checking this box, I agree that I am applying to Remain Active in the CERT program and acknowledge that I may be required to perform extra training and/or register at different websites to receive the additional training required and to be registered with the State of Ohio as an active volunteer. I further acknowledge that I must pass a criminal / sex offender background check and that I am subject to random background checks due to the sensitive areas my volunteering as a CERT volunteer may place me. *I Agree Questions or Comments: I wish to be contacted for more informationYesno Math VerificationSubmitReset
