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 June 30, 2005 regulations established by the state of MA, the procedure requires us to view the member's identification (or a photocopy), such as a driver's license or passport.
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 Board of Health
55 Main Street, 2nd Floor
Westford, MA 01886
In case of questions, please call 978-399-2549 or send e-mail
to Nburns@WestfordMA.gov.