Request edit access
MEMBER INTAKE FORM
Collection of information for MASAR and Member information
Email address *
Name *
Your answer
Phone number *
Your answer
Email *
Your answer
Your Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Emergency Contact Relationship *
Your answer
Do you have any medical concerns that team leaders and medics should know about? *
Your answer
Do you have a vehicle/atv you would like to use for SAR?
Does the vehicle have a winch?
Does the vehicle have a trailer hitch and wiring?
Does the vehicle have tow hooks? (select all that apply)
What is the Make, Model, Year, Color of the vehicle/atv?
Your answer
Are you cpr/first aid certified? *
Are you basar certified? *
Do you have any other certifications?
Your answer
What is your experience in Search and Rescue or Civil Service?
Your answer
What is your interest in search and rescue? Why do you want to participate in SAR, what is is it you would like to do?
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Maine System. Report Abuse - Terms of Service