Search & Recovery Response Team

2O7t2 Becky Drive Lake View, Alabama 35111 (20s1441-4s10

Mr. Ms

First Name:

Membershio aoolication Please Print or Tvoe ln Black lnk Weight: Height: Last Name:

Hair:

Eyes:

Street Address:

Giry/State/Zip:

County:

Mailing Address:

Ci9/State/Zip:
Evening Phone: Cell Phone: Other Phone:

uounty:

uaylrme Pnone:

E-mail Address:

Employed by:

Years:

Birth Date:

DriverLic.#&State:
Phone:

Yes

Vehicle
No

Make:

Color:

Year:

License:

Emergency Contact Name:

Health:

Fair o Good

o Excellent

Do you have any medical conditions that our team should know about? lf so, please list.

Have you ever been convicted of any felony? Yes or No lf yes please explain:

Have you ever been convicted of a crime against a child, family violence, or moral turpitude? Yes or No lf yes please explain:

List your SAR related Experience, Gertifications, Training, or Special Skills:

Please circle each of the following activitles you are interested in helping with:

Medical ATVs Trainlng Events Mountain Bike Radio Skills / HAM Executive Skills
Event Plans &

Support

Canine Boat / BilinguaFSpanish, Trade show Document preparation Search team Flyer

SAR Marine

etc. support

meals distribution

Scuba diving Ground search help Search management Fund raising / grant writing Computer / database skills Public Vehicle Maintenance / mechanic Public Graphic / web design ffice support skills or writing Researcher by phone Other activities Legal

Air /

support Pilot

relations Speaking

lf available please send or E-mail a copy of a cunent resume or bio with your business, professional or related experiences.

Searclr 4 Recovery does not require any member to have a CCW License. If you choose to do so, you do at your own risk and must abide bv all State and Federal l-aws. I agree to Search & Recovery Response Team conducting a complete background check if applicable. I agree that no infotmation with regard to searches will be released to any member of the news media, made public in any way or used for personal use of any kind. I agree all information, paperwork, or equipment issued, etc. are the property of Search & Recovery Response Team. I will take no photographs or video on any Search & Recovery Response Team sanclioned search or event, without pemission from one of the Search & Recovery Response Team Board of Directors. I understand that any tip or information of any kind pertaining to a potential criminal case must be reported and that removal of anything from a search area may be considered interfering with a criminal investigation, a prosecutable offense. I agree to hold Search & Recovery Response Team harmless with regard to any personal injury or injury ortheft of horses, dogs or personal property while volunteering for Search & Recovery Response Team. By mv sionature below I acceot these terms. Membershio is a orivileoe that mav be denied or revoked at any time. Wilness: Date: Signature: