There are two forms that applicants are asked to complete and send to the Coordinator, to become members of the unit.
1. An Application form , with copies any appropriate documents (such as a nursing license or EMT card)
.
2. A CORI form .
As with most volunteer organizations that involve contact with
the public, the MRC takes reasonable steps to ensure the safety
of its members and the community being served. Per
the regulations established by the state of MA that were updated
in April of 2009, the procedure requires us to view the
member's identification (or a photocopy), such as a driver's
license or passport. Please remember to INCLUDE A PHOTOCOPY
OF YOUR LICENSE when you send us a CORI form, because we can't
run your background check until we have the photo ID in hand!!!
A legible fax (sent to 978-399-2565), or scanned copy sent
in e-mail (to nburns@westfordma.gov)
is also sufficient.
To
properly download and view these forms, you will need the free
Adobe
Acrobat reader installed on your computer. Most computers
have Adobe Acrobat already installed. If Adobe Acrobat is not
on your computer, you can follow the download and installation
instructions here.
Click here to download and install the free Adobe Acrobat reader
These documents can be given to the coordinator or mailed to the following address, as printed on the forms:
Ms. Nancy Burns, Coordinator
Upper Merrimack Valley MRC
c/o Health Department
55 Main Street
Westford, MA 01886
In case of questions, please call 978-399-2549 or send e-mail
to Nburns@WestfordMA.gov.