Complete the following form to create an account for use
inside the campus. The information collected here will not be shared with any third-party
and is used solely for providing services inside the campus.
What would you like to do ?
Register and receive an accountUpdate my information
How did you hear about us ?
Email from NCBRT
Email - Other
University of Minnesota: Disaster 101
* First Name:
* Last Name:
* To register for a FEMA SID, visit the FEMA SID website.
* Title ⁄ Rank ⁄ Position:
or Company Name:
* If you do not have an agency or
company, please specify "N/A" for Agency Name and provide personal contact
* Work Address:
* Zip Code:
If non-US, specify the country:
* Phone #:
* Email Address:
* Verify Email Address:
Years in Agency:
Level of Government - Select one item best
describing your level of government.
Student Discipline - Select one item for your primary student discipline.
Agricultural Safety (Pre and Post Harvest) (AGS)
Animal Emergency Services (AES)
Citizen/Community Volunteer (CV)
Emergency Management (EM)
Emergency Medical Services (EMS)
Fire Service (FS)
Governmental Administrative (GA)
Hazardous Materials (HM)
Information Technology (IT)
Law Enforcement (LE)
Private Sector/Corporate Security and Safety Professionals (PSP)
Public Health (PH)
Public Safety Communications (PSC)
Public Works (PW)
Search & Rescue (SR)
Transportation Security (Air, Water, Ground, Port) (TS)
I have reviewed the necessary
requirements for this training (in
Course Descriptions ) and I certify that I meet these requirements.
If No, please explain:
I certify that I meet the U.S. citizen requirement.
I am willing to participate in a post-class evaluation consisting of a phone call
or email to help the NCBRT make improvements to classes and collect feedback on
how course information is being applied in the field.*
By submitting your registration information, you indicate that
Business hours disclaimer:
Regular business hours are Monday through Friday, 7:00 am
to 4:30 pm (Central time). Requests made on weekends, holidays, and/or outside of
regular business hours will be addressed as soon as possible.
Participation is currently limited to United States citizens
unless a special request form is completed. Once the form is reviewed,
you will be notified via email the status of your account.
The training evaluation forms have been designed to solicit
your assessment of enhanced knowledge and skills related to the course objectives
and any actions you plan to take to enhance your capacity or that of your agency
to respond to a terrorist attack. The information will be used by the Department
of Homeland Security — FEMA to modify or enhance the training course to better
meet the needs of emergency responders and to address changing terrorist threats.
Although your feedback is very important to us, completion of the form or specific
questions is voluntary. The personal identifying information is requested so that
we can conduct a follow-up survey on the usefulness of the course to you. Your responses
and all personal information will remain confidential. Personal information will not be shared with third parties. Personal information can be corrected by contacting firstname.lastname@example.org.