SALF - Save A Life Foundation Affilates of The Department of Homeland Security
Save A Life Foundation Logo SALF - Save A Life Foundation

 




Affiliate of:

Citizen's Corps Affiliates Logo

Illinois Municipal League Logo

The US Conference of Mayors Logo

Honorary Air Crew Member

DHS Threat Level: Elevated

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Save A Life!
donate@salf.org or

  

SALF Internet Application Form

Please complete and submit form

In order to reply to your request for more information regarding SALF, please complete the form below so that we can direct your interest to the appropriate department. Once your information has processed you will be notified. Thank you for your interest in SALF.
Last Name First Name MI Title
Current Address
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City State Zip  
Business Affiliation or Employer
Business Address
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City State Zip  
Daytime Phone Evening Phone
E-mail Address
Please Check all that apply:
EMS Professional Firefighter Nurse Police Officer
Other
Are you a member of Citizen Corp ? yes no
Are you a member of the Medical Reserve Corp? yes no
Other, please list name(s)
Who is the Municipal Officer (Mayor) in your city:
What First Aid or CPR credential do you currently hold?

American Red Cross
American Heart Association
National Safety Council
Other
Please Check Only One:
Are you interested in

Becoming An Instructor
Opening a Branch
Volunteering Opportunities
Other