New Member Data Collection
Hi everyone, first thanks for bearing with us as we ask some questions you answered on the paper forms...It saves someone a bunch of data entry time. The good news is that we try to collect everything up front so there is very little needed after training begins.

Most of this info is private and restricted, only Occupation and Address is shared with unit members. We ask employer and occupation so unit members know the resources, connections and talents within the unit. Thanks for you help!

Personal Information
First Name
Preferred Name (Ex: Bob instead of Robert)
Your answer
Last Name
Your answer
Cell Phone Number
(Please use actual phone number, not G-voice or other intermediate number)
Your answer
Gender
Required
Date of Birth
Use format: MM/DD/YYY
Your answer
Drivers License number
Your answer
Occupation
Employer
Your answer
Occupation
Your answer
Relevant Experience
If you have a current medical cert, what is it?
Your Medical Cert Date
Date you earned medical cert
MM
/
DD
/
YYYY
Contact Information
Street Address
Please include Apt / unit # (If someone needs to pick you up for car pool, they'll use Google maps
Your answer
City
Your answer
State
Zip Code
Used for mapping
Your answer
Emergency Contact Info
Emergency Contact Name
Your answer
Emergency Contact Relationship
Emergency Contact Phone #
(Preferably a cell phone
Your answer
Emergency Contact Name -2
Your answer
Emergency Contact Relationship - 2
Your answer
Emergency Contact Phone - 2
Your answer
Uniform Info
T-Shirt Size
Uniform Shirt Size
Uniform Pant - Waist Size
Uniform Pant - Length
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