ARES Volunteer Application/Update Form

Volunteer Application/Update Form

FSD-98 (IOWC ARES/RACES JotForm version: 09/09/2015 with thanks to VCAPARES)
General Information
*indicates required items
Application Type *
Team Type *
Team Desired to Join *
Full Name *

First Name Middle Name Last Name Suffix
Nickname
Call Sign *
License Class *
ARRL Member #
Contact Information
Primary E-mail *
Secondary E-Mail
Winlink Address
Packet Address
Primary Contact Number
Home Phone # *
Mobile Phone #
Mobile Phone Text Capable?
Work/Other Phone #
Permanent Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Equipment and Training
Resources Available

VHF/UHF - HT VHF/UHF - Mobile VHF/UHF - Portable VHF/UHF - Base HF - Mobile HF - Portable HF - Base NVIS Antenna (HF) Emergency Power Communications Trailer
Bands Available

23 cm 33 cm 70 cm 1.25 meters 2 meters 6 meters 10 meters 12 meters 15 meters 17 meters 20 meters 30 meters 40 meters 60 meters 75/80 meters 160 meters
Modes/Services

AM APRS FM SSB CW NBEMS Software Packet Pactor I Pactor II Pactor III PC-ALE RTTY Winlink Winmor
FEMA Courses Completed

IS-100.b Introduction to Incident Command System IS-200.b ICS for Single Resources and Initial Action Incidents IS-700.a National Incident Management System (NIMS) An Introduction IS-800.b National Response Framework, An Introduction Other - list in comments
Other Training Completed

ARRL EC-001 ARRL EC-016 ARRL PR-101 AUXCOMM SKYWARN Basic SKYWARN Advanced DHS COM-T DHS COM-L Other - list in comments
Additional Information, Training, or Comments
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Volunteer Application/Update Form

General Information

Contact Information

Equipment and Training