Priority Search & Rescue
Volunteer Membership application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Height & Weight
*
Hair & Eye color
*
Employer / Job title / Years
*
Date of Birth
*
Drivers license # & State
*
Have a vehicle?
*
Yes
No
Make, Model, color, year & License
This will be used to identify your vehicle when we are on deployments in the event you take your own vehicle.
Emergency Contacts (min of one, more is better)
*
Name and Phone
How is your health?
*
Fair
Good
Excellent
Do you have any medical conditions we should be aware of?
*
yes
no
if yes, please explain
*This does NOT disqualify you from being a volunteer.
Have you ever been convicted of a felony?
*
yes
no
If yes, please explain. Include dates and other pertinent information.
have you ever been convicted of a crime against a family member, child, or moral turpitude?
*
yes
no
If yes, please explain.
List your SAR, First Responder, Medical or military experience below as well as any certifications you currently hold.
*
Please check each of the following activities you're interested in helping with as well as any equipment you own and are willing to utilize for the activities.
*
horse (MSAR)
medical
ATV's (MSAR)
mountain bike (MSAR)
Training events
radio skills / HAM
executive skills
event plans & Support
fundraising
canine SAR (K9)
Boat / Marine
Billingual - Spanish
document Prep
Logistics (meals, Planning, etc)
Air, Pilot, UAV
Search management
public relations / education
graphic & web design
scuba & sonar
ground SAR
vehicle maintenance
Other activities as needed
Priority SAR does not require you to obtain an LTC, however if you hold one you are allowed to carry a concealed or open side arm when and where allowed and all state and federal laws must be followed.
*
I agree
Priority SAR requires all members including ranking officers and auxiliary members to pay a yearly Dues of $120 ($10/month) this helps pay for equipment, tools, fuel and response efforts.
*
I agree
Signature
Please verify that you are human
*
Submit
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