2019 Klamath River TREX Application: October 7 to October 19, 2019, Orleans, CA
Thank you for your interest in the 2019 Klamath River Prescribed Fire Training Exchange! Please take a few minutes to tell us about yourself.

We will notify applicants if they were selected to participate by July 29, 2019.

Email address *
Applicant Information
First Name *
Your answer
Last Name *
Your answer
Organization *
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Job Title
Your answer
Phone Number *
Your answer
Mailing Address *
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City *
Your answer
State *
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Zip Code *
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Country
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TREX Information
My expectations for this Training Exchange are (briefly): *
Your answer
Please plan to attend the entire TREX. If this is not possible, you must choose either Week 1 or Week 2 and provide an explanation of circumstances in the Special Request box below. *
Required
We are planning on holding onto resources for a 3rd week to hold existing burns and possibly implement more good fire. Are you willing to stay a third week?
Explanation of Special Request to not attend entire TREX event
Your answer
Training information: If you are not familiar with training requirements please contact David Medford Rubalcaba at dmedfordrubalcaba@karuk.us for more information
PLEASE READ CAREFULLY: I need to take/retake:. *
Required
Do you need to complete a pack test or refresher course being offered only on 10/6/19 (please note that this is one day before the TREX event begins) *
NWCG qualified positions (current only): *
Your answer
Non-NWCG qualifications or other related experience: *
Your answer
Trainee position requested: *
Your answer
Trainer position requested (if applicable):
Your answer
Supervisor Information:
I have supervisor approval to attend this training *
My supervisor's name and contact information:
Your answer
TREX is only possible through the generous donation of equipment and supplies from participants. Engines, hose, extra sets of PPE, bladder bags, and hand tools are a few examples of our equipment needs. Participants who can bring resources and/or equipment may get preference during the selection process and may have their registration fee waived (depending on contribution).
Yes! I can provide some equipment or supplies and I've listed the item(s) I can provide below:
Your answer
Do you have any skills that you would be interested in sharing with other TREX participants through a presentation, workshop or training?
Your answer
If selected, a non-refundable Fee (due no later than August 16, 2019) of $300 is required; university students must pay a $100 registration fee; and some fees may be waived or lowered for qualifying participants - contact Will Harling (will@mkwc.org) for more information.
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