NORMIPro Environmental TASCForce Emergency Operations System - Application

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Contact Information

Name
Street Address
City ST ZIP Code
Mobile Phone
Work Phone
E-Mail Address

Interested as a: (Select all that apply)

___ Emergency Operations Specialist / ___ Affiliate Member
___ Regional Supplier / ___ Not-for-Profit Organization
___ National Supplier / ___ Other

Specialties or Supplier of:

Select all that apply.

___ CMI
___ CMA
___ CMR
___ Remediation Equipment
___ Testing Equipment
___ Sanitizing and Remediation Chemistries
___ Air and Surface Purification Products
___ Other

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired. If you selected “Other” in above choices, please include an explanation. Additional information could include FEMA Training (ICS System), Medical, Emergency Responder, etc.

Previous Volunteer Experience

Summarize your previous volunteer experience.

Person to Notify in Case of Emergency

Name
Street Address
City ST ZIP Code
Home Phone
Work Phone
E-Mail Address

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, supplier, or affiliate, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal and or listing with the NORMIPro Environmental TASC Force being removed.

Name (printed)
Signature
Date

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us. Please send this form to .

NORMI Affiliate Program

Many of our partners have enjoyed the benefits of NORMI Membership by becoming a NORMI Affiliate. These professionals come from different industries to support themselves and our membership by offering the public expert services that are approved and, in some cases, endorsed by NORMI. Some of the categories open for this program include:

Contractor
Builder
IAQ Specialist
Remodeler
Real Estate Broker / Plumber
Carpet Cleaner
Environmental Consultant
Developer
Medical Field / Electrician
HVAC Contractor
Maintenance Supervisor
Realtor
Insurance Field

An Affiliate is an industry professional or Company that becomes an ACTIVE NORMI™ Member who has not yet been through a NORMI™ training or certification course, but has the rights and privileges of an ACTIVE member and membership benefits. An Affiliate member will be listed on the Pro-Locator site with the designation of “Non-Certified Affiliate”. A list of NORMI™ ACTIVE Member Benefits can be found at Upon completion of this application and approval for the Affiliate Program, the Applicant will receive instructions to complete the Membership Process.

The process to become a NORMI Affiliate is easy.
Complete the ONLINE Application
Download the Application to Mail or FAX