Online Application

Please fill out the information below:
Example: 5551239575
Example: 5551239575
By submitting this application, you are confirming that all provided information is correct, and you are confirming that you are willing to allow NAMRC to check your credentials. In order for NAMRC to check your credentials, you will have to submit your social security number to NAMRC following an orientation.

This information is requested by the Alabama Department of Public Health for the purpose of organizing volunteers and staff to respond to public health emergencies. It will not be utilized or released for any other purpose without your express written permission unless required by law.