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 NameMiddle NameLast NameSuffix
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

CityState / Province

Postal / Zip CodeCountry
Equipment and Training
Resources Available

VHF/UHF - HTVHF/UHF - MobileVHF/UHF - PortableVHF/UHF - BaseHF - MobileHF - PortableHF - BaseNVIS Antenna (HF)Emergency PowerCommunications Trailer
Bands Available

23 cm33 cm70 cm1.25 meters2 meters6 meters10 meters12 meters15 meters17 meters20 meters30 meters40 meters60 meters75/80 meters160 meters
Modes/Services

AMAPRSFMSSBCWNBEMS SoftwarePacketPactor IPactor IIPactor IIIPC-ALERTTYWinlinkWinmor
FEMA Courses Completed

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

ARRL EC-001ARRL EC-016ARRL PR-101AUXCOMMSKYWARN BasicSKYWARN AdvancedDHS COM-TDHS COM-LOther - list in comments
Additional Information, Training, or Comments
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Volunteer Application/Update Form

General Information

Contact Information

Equipment and Training