Anchorage ARES Application
This is the application form for Anchorage ARES. It collects basically the same date as the ARRL FSD98, plus also collects the geocoordinants for members' home.
First Name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Callsign *
Your answer
License Class *
Are you a member of the ARRL? *
Are you a current member of the Anchorage Amateur Radio Club? *
Do you have access to JBER? (we have ARES positions that require access to the bases). *
Mailing Address *
Your answer
Mailing City *
Your answer
Mailing State *
Mailing Zip Code *
Your answer
Primary E-Mail Address *
Your answer
Secondary E-Mail Address
Your answer
Primary Phone Number (xxx.xxx.xxxx) *
Your answer
Secondary Phone Number (xxx.xxx.xxxx)
Your answer
Bands and modes you can operate
SSB
CW
FM
Sound Card Modes
Packet
Winlink
Mobile Operation
HF
6 Meters
2 Meters
220 MHz
440 MHz
Are you on the AARC AREDN Mesh Network? *
Can your home station be operated without commercial power? *
Other info you'd like to provide about unique station capabilities, or your specific interests in ARES
Your answer
If you are able, please provide your home QTH geographical coordinates latitude in dd.dddddd format. For example the AARC RSOC is located at 6721 Raspberry Road, it's geographical coordinates are 61.159613 -150.004486. The latitude entry would be "61.159613".
Your answer
If you are able, please provide your home QTH geographical coordinates longitude in ddd.dddddd format. For example the AARC RSOC is located at 6721 Raspberry Road, it's geographical coordinates are 61.159613 -150.004486. The longitude entry would be "150.004486" .... don't worry about preceeding it with the minus (-) sign.
Your answer
Physical Address *
Your answer
Physical City *
Your answer
Physical State *
Physical Zip Code *
Your answer
Please type your full name below. This will serve as your "signature" for this application *
Your answer
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