Volunteer Application Form

Thank you for your interest in becoming a member of the Worcester Regional Medical Reserve Corps.

Please visit the MA Responds website to register as a volunteer: www.MAresponds.org

Your information will not be disclosed to anyone outside of the Medicle Reserve Corps.

The MRC CORI Check form must also be completed in order to become a volunteer. Please download, print, and complete the following form: 

MRC CORI Check Form (PDF)

Upon completion, please mail or deliver the application to:

Mail:
Coordinator, Worcester Regional Medical Reserve Corps
Office of Health and Medical Preparedness
Department of Health & Human Services
25 Meade Street, Office 206
Worcester, MA 01610

For more information on the becoming a volunteer process, click here to read about the application process.