Technical Rescue Team Application for Membership

Technical Rescue Team Application for Membership

Pre-screening Questionnaire. Equal Opportunity Employer
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com
If selected for the team, are you willing to submit to a background check ?*

YesNo
Where did you hear about our team?
Are you active with any first response or rescue squads? If so, which one(s)?
Are you available year-round for trainings, missions, etc?

YesNo
Please list any applicable skills or certifications.
Upload any applicable certifications.

Cancelof
Reference 1
Reference 2
Current Employer if Applicable
Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to membership, I understand that false or misleading information in my application or interview may result in my release.
Date*

MonthDayYear
Date
Signature*

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