Prospective Membership Application Form

Prospective Membership Application

Please complete the form below to register your interest in joining Auckland LandSAR. The information sought below is being collected in order for us to be able to make an assessment on your suitability as a prospective team member. Please ensure all your responses are honest and a truthful reflection of your situation, attributes and skill sets. Any information that is found to be false will render your application, or any subsequent position within Auckland LandSAR, null and void. All information collected will be treated and held as confidential.
Basic Information
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Z
Mobile Number:*
Birth Date:*

DayMonthYear
Occupation*
Work Status*
Please list any other relevant clubs or organisations you belong to.
Vetting will be required for any successful application. Do you consent to a Police background check?*
Please detail why you do not consent to a Police background check.*
Please acknowledge by checking the box below that you are aware that this is a volunteer role and as such it will involve the use of your personal gear, your personal vehicle for travel, as well as your own time for training and searches.*

I have read, understood, and accepted the information noted above.

Medical Disclosure
Do you have any medical conditions, physical or mental limitations (injuries with long term effects, inability to swim, etc) that may impact your participation in SAR?*

NoYes
Please describe these briefly below.

Equipment
Do you own the right outdoor equipment to allow you to be completely self-sufficient for 24 hours in the bush? Bear in mind that it needs to be of an adequate standard to keep you safe while allowing you to operate in the variety of weather conditions we experience in Auckland.*

YesNo
Are you prepared to upgrade any gear that may be required for SAR specific use i.e. torch?*

YesNo

Availability
Can you commit to attending monthly weeknight training, periodic weekend training, formal weekend courses, an annual SAR exercise and adhoc fundraising activities throughout the year?*

YesNo
Are you available at short notice for searches on any given day at any time? Please consider your family and work situation in your response.*

YesNoNot on all days
What days/times would you typically not be available?

General information
What are your reasons for wanting to join Auckland LandSAR?*
As we operate under the direction of the NZ Police, all successful applications are subject to Police vetting. Any successful application will therefore be contingent on this vetting process. In clicking the submit button below, you are agreeing to enter in to our application process and therefore abide by any rules, requirements and any decisions that result from it.
Should my application and subsequent interview be successful, I am available to attend the assessment weekend (the date closest to this application), shown on the application page of the Auckland LandSAR website.

YesNo
Signature*

Clear
Should be Empty:

Prospective Membership Application