TOVSAR

Top of Virginia Search and Rescue

info@TOVSAR.org

Membership Application

Name:______________________________________________________________________________
Address:____________________________________________________________________________
City:____________________________   State:____________________    Zipcode:_________________
Home Phone:_____________________________ Pager Number:_____________________________
Work Phone:__________________ Ext:_________ Email:_________________________________
Previous Search and Rescue Experience:___________________________________________________
_______________________________________________________________________________
Do You Already Have Any SAR Equipment:__________________________________________________
_______________________________________________________________________________
Do You Have A CPR Card:     Y/N Expiration Date:____________________
What Medical Experience Do You Have:___________________________________________________
______________________________________________________________________________
List Any Fire and Rescue/Emergency Service Experience:_______________________________
_________________________________________________________________________
Are You Currently Affiliated With An Emergency Service:  Y/N If Yes Then Name And Location
_____________________________________________________________________________
What Is Your Normal Work Schedule:____________________________________________________
Can You/Will You Take Of From Work If Necessary:    Y/N
Can You Be Ready To Respond To A Search Within 1/2 Hour:    Y/N
Are You Willing To Participate In A Hasty/Quick Search Team:  Y/N
Are You Willing To Serve On A Committee:         Y/N
What Vehicle Will You Respond In:____________ License:________________________
Name And Phone Number To Contact In An Emergency:_____________________________________
(note1: The Top of Virginia Search and Rescue Group has an established schedule of one meeting per quarter, and one training per month. All members are required to attend no less then 1/4 of them to maintain active member status.)
(note2: Please list any other information you feel pertinent to this application on the back side of this Form.)
Parent/Legal Guardian Authorization To Participate: (required of applicants under 18 years of age)
As parent or legal guardian of the applicant, I hereby authorize him/her to participate as a member of the Top of Virginia Search and Rescue Group.
Name:___________________ Signature:________________________ Date:______________
I hereby Certify... that the information in the application is true and accurate to the best of my knowledge and that as a member of the Top of Virginia Search and Rescue Group, I will abide by its rules, regulations, and leadership to the best of my ability.
Name:___________________ Signature:________________________ Date:______________
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