Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please tick to confirm that you understand and agree to the following *

I have read the FAQs page on the ccrnetwork.org website

I understand that I need to commit to attending all 5 training days, including 3 days on disaster resilience, community building and regeneration, 1 day on first aid, and half a day on psychological first aid

I understand that I will only be considered for joining the CCR network once I have completed the 5 days of training

I understand that the time commitment during the CCR training period is between 30 mins to 4 hours a week

I commit to lead or engage (with our support) in some project which builds the resilience of my community during the CCR training period between March and December 2023

I am confident in my ability to think clearly and be calm to support my community during a crisis

I understand that if I become a CCR after this training, that it is a volunteer role and I won’t be paid

Which dates and locations will you be attending? (NOTE: the next training and location dates will be listed here once they are confirmed) *

Please select 3 days (Day 1, Day 2 and Day 3) at the location of your convenience