Membership Application

To become a part of our team, please fill out the form below.

We may requests copies of these at a later time
Dates you worker there, Employer name, and a brief description of the job.
I, _________________________, the undersigned agree to serve as a volunteer debriefer with the Central Texas Critical Incident Stress Management Team for a minimum period of one year or until I withdraw my membership. I understand that serving as a team member requires the following commitments and obligations.   1. Attend team training/continuing education sessions as scheduled. 2. Attend team meetings as scheduled. 3. Complete cross training as required. 4. Complete and required records or documentation. 5. Recommend maintain own professional liability insurance. 6. Participate in education/team outreach/committee activities as requested. 7. Maintain strict confidentiality regarding debriefings or other Critical Incident Stress interventions held, including topics discussed and personnel involved. Any breach of confidentiality will result in immediate removal from the team and the program. 8. Wear a CISM badge or other identifying markings when functioning in any Team activity.   I have read and understand these commitments and obligations. I agree to serve as a volunteer for the Central Texas Critical Incident Stress Management Team and abide by all policies, procedures,  and protocols.