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THIS PAGE IS TO REGISTER OFFICIAL CITIZEN CORPS COUNCILS ONLY
If you are not an official representative of a Citizen Corps Council, but are interested in participating in Citizen Corps please join our Mailing List
Thank you.
FOR LOCAL OFFICIALS:
Thank you for your interest in bringing Citizen Corps to your community. We are creating a directory of Citizen Corps Councils to help build a network of communities that are committed to engaging their citizens in being safer and better prepared for all emergency situations.
Through this network, your state and federal partners will be able to share relevant information with you and you will be able to exchange information with your counterparts. Please complete each field and submit this form only once for your Council. Once your information has been verified, we will post your Council on the Citizen Corps website. Thank you!
Council Information
Council Name*
Region Name*
Council Type*
Please select a council type
County
Local
Tribal
Street Address*
Street Address Cont.
City*
State*
Please select a state
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
U.S. Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code*
-
Phone Number*
-
-
Ext:
Council's Email
(xxx@yyy.zzz)
Confirm Email
(xxx@yyy.zzz)
Council Web Site
(http://www.xxx.com)
Council Description
Council's Endorsing Local Official
It is important to have the support of the local elected leadership for your Council's jurisdiction - this could be the Mayor, City/Town Manger, County Commissioner - or the Emergency Management Director for your area. Please be sure your contact supports your interest in forming a Citizen Corps Council before submitting their name.
First Name*
Middle Initial
Last Name*
Title
Street Address*
Street Address Cont.
City*
State*
Please Select A State
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
U.S. Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code*
-
Phone Number*
-
-
Ext:
Email*
(xxx@yyy.zzz)
Confirm Email*
(xxx@yyy.zzz)
Council's Point Of Contact
Council Point of Contact: This is the principal point of contact for Citizen Corps in your community. This is the person who will receive information from state or federal partners and whose name and email address will be posted on the Citizen Corps website. You may wish to create a generic email address, such as CitizenCorps@dhs.gov
First Name*
Middle Initial
Last Name*
Title
Street Address*
Street Address Cont.
City*
State*
Please Select A State
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
U.S. Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code*
-
Phone Number*
-
-
Ext:
Fax
-
-
Ext:
Email*
(xxx@yyy.zzz)
Confirm Email*
(xxx@yyy.zzz)
Council's Covered Jurisdictions
No Jurisdictions are currently associated with this council.
OMB No. 1660-0079, Expiration Date: 07/31/2006
Department of Homeland Security