IAFSM BLSC Application Questionnaire

Name*

First NameLast Name

Email*

Cell Phone*

Location*

Street Address

Street Address Line 2

CityState / Province

Country

Employer*

Job Title*

Summary of Job Duties*

Does your Agency / Organization own a terrestrial laser scanner (TLS) / Terrestrial LIDAR device?*

YesNo

Please provide info for each TLS device owned by your agency (if more than 4, email additional device info to info@iafsm.org)*

	Manufacturer	Model	Serial #
Device 1
Device 2
Device 3
Device 4

Corresponding to the devices above, please confirm the following (if more than 4, email additional device info to info@iafsm.org)*

	Have you received at least 24 hours of verifiable, vendor-based classroom instruction on this TLS device – including virtual instruction?	Are you personally authorized to deploy and operate this TLS device by your Agency / Organization?	How many years have you been authorized to operate each TLS device?
Device 1
Device 2
Device 3
Device 4

Using your Agency / Organization TLS device(s), have you been able to successfully do ALL of the following at least five (5) times*

	Selection
Deploy a TLS Device?
Operate a TLS Device?
Produce an accurately registered point cloud data set from a TLS Device?
Publish exhibits from an accurately registered point cloud data set gathered by a TLS Device?

Please answer the following*

	Selection
Have you completed at least one (1) successful case-related deployment that includes all elements from the question above?
Are you able to provide proof of TLS deployments and casework with confidentially submitted data sets or via virtual meetings?

Will you be able to demonstrate proof of at least one (1) case-related TLS deployment that includes (select any that apply)*

A registered TLS point cloud data setCase notes, if any, from the TLS deploymentA completed exhibit from the TLS point cloudA completed incident report from the TLS deploymentNone of the above

Your resume*

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pdf, doc, docx

Letter of support from your direct Supervisor or a Principal Officer from your organization*

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pdf, doc, docx

Certificate or diploma of proof of your vendor-based TLS training*

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pdf, doc, docx