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Volunteer Application

“Take me to the brig. I want to see the real Marines”, said legendary Marine Corps General Chesty Puller. TR asks that you be honest about your history in order to be considered as a member of the team. Do NOT be discouraged by this. As long as you’re ‘on the up-and-up’, consider yourself eligible to be part of the revolution.

If you are interested in working with TR’s relief efforts please fill out this form completely and accurately. Completion of this application DOES NOT guarantee participation in future TR operations. Read our Volunteer FAQ page.

 
Personal Data
First Name
Last Name
Email
Mobile
Phone
Street
City
Current State
Zip Code
Country
Date of Birth MM/dd/yyyy
Gender
T-Shirt Size
Professional Data
Education
Major
Occupation
Location
Certifications
Medical Experience
Medical Title (in alphabetical order)
Years Experience
Specialty
Mass Casualty Situation Experience
Other Information
Military Experience
Branch of Service
Current Status
Years of Service
Primary Occupational Specialty
Deployments
Highest Rank Achieved
Highest Leadership Billet Achieved
Special Schools Attended
Individual Honors/Awards
Honorably Discharged?
Do you have a service-connected disability?
Other
Disaster Relief Experience
Previous Relief Efforts
Relief Organization
Role
Foreign Language Experience
List Languages You Are Fluent In
List Languages You Have A Working Knowledge Of
Other
Personal Reference (include contact info)
Professional Reference (include contact info)
List any skills you believe are relevant to disaster relief (ie, mechanical, electrical, pilot license, etc.):
Do have any medical issues that may affect the volunteers ability to deploy?
Are you able and willing to deploy anywhere in the world within 36 hours of notification?
Reason (if no)
Have you traveled outside of the United States? List countries you have traveled through (up to 10):
Do you have a current US passport?
Other Passports
Have you ever been named as a defendant in any current or pending legal actions? (If yes, please specify what, when, and with what outcome).
Have you ever been suspended, fired, had your license or privileges revoked, received any disciplinary action, or been sent back from a relief or disaster operation, due to any misconduct, or conflict with other members of the operation or organization with whom you worked? (If yes, please specify.)
Have you ever used illegal drugs, abused prescription drugs, or been treated for a substance use/abuse disorder? (If yes, please specify.)
Emergency Contact
 

What's with the name?

Simple. "Team" emphasizes the organization's military ethos of small, cohesive units. "Rubicon" refers to the river in northeastern Italy, that divided the Roman Republic from Gaul. When Julius Caesar crossed the Rubicon at the head of his legions and marched on Rome, it marked a point of no return. The phrase "crossing the Rubicon" has since survived in reference to any group committing itself to a risky course of action. On January 17th, 2010, despite government and large aid organization's advice not to proceed, Team Rubicon members crossed the Artibonite River separating the Dominican Republic and Haiti, carrying crucial gear and medical supplies to the people of Port-au-Prince. Once across, they were irrevocably committed to their task. Hence the name: Team Rubicon

What's with the logo?

The Team Rubicon logo consists primarily of a cross turned on its side with a river flowing through it. The cross represents the traditional symbol of medical aid. It is on its side because Team Rubicon represents such a departure from the current paradigm in disaster response. The river flowing through the cross represents the "Gap" that exists between large natural disasters and conventional aid response. Team Rubicon serves to "Bridge" this gap; providing field triage and relief operations until large aid organizations and nations can provide definitive care.

What's with the slogan?

"Bridge the Gap" refers to Team Rubicon's primary mission of providing disaster relief between the moment a disaster happens and the point at which conventional aid organizations respond. The "gap" is primarily time; the crucial window following a disaster when victims have traditionally been without outside aid. When the "Gap" closes - once conventional aid organizations arrive - Team Rubicon moves on.

©2012 Team Rubicon. All Rights Reserved.
Site Design and Development by Dan Sweeney, Sarah Lenger.

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