We would like to know a little about you
You have useful knowledge that will be important in a disaster. Please fill out the form below and click the SUBMIT button.

Name
First:
Last:
address
HOUSE NO: Street:
City:
State: Zip:
Contact Information
Phone: E-Mail:
Check the areas in which you have skills
hunting farming/gardening cooking
food preservation butcher wilderness survival
water resources renewable energy refining
engineering physics chemistry
carpentry electrical mechanical
construction welding sanitation
military police search and rescue
medical drugs herbal cures
FEMA ICS certified legal grant/fund raising
communications security computer skills
sewing bee keeping clergy/spiritual support
fire fighting firearms barter systems
Other skills: