New Member Candidate Data Collection
Thanks for bearing with us as we collect all the information we need up front. Some of this must be entered again on the State of California Governor's Office of Emergency Services (OES) forms, but that the state's requirement and can not be avoided. * Please be aware that a background check that includes DOJ/FBI and California DMA databases will be run without exception. If you have a felony conviction you will not be approved so please do not apply*

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

Personal Information
First Name *
Preferred Name (Ex: Bob instead of Robert.. (Also used for unit email address)
Your answer
Last Name *
Your answer
Cell Phone Number *
(Please use the same number you gave us at a Intro event and a actual phone number, not G-voice or other intermediate number)
Your answer
Personal Email *
Please use same email that you used if you attended a Info event.
Your answer
Gender *
Required
Age Category *
(18 and over is Adult)
Date of Birth *
Use format: MM/DD/YYY
MM
/
DD
/
YYYY
Drivers License number
Your answer
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
Occupation
(Adults only)
Employer
Your answer
Occupation *
Your answer
Relevant Experience *
Have you ever applied to a Bay Area SAR team ?(or are you a current member) *
If you applied to a SAR team (or are a member) which one and what is your application status?
Your answer
Emergency Contact Info
Emergency Contact Name- Primary *
Your answer
Emergency Contact Relationship- Primary *
Emergency Contact Phone #- Primary *
Format: (###) ###-### (Preferably a cell phone)
Your answer
Emergency Contact Name -2
Your answer
Emergency Contact Relationship - 2
Emergency Contact Phone - 2
Format: (###) ###-### (Preferably a cell phone)
Your answer
Skills and Certs
If you have a current medical cert, what is it?
Your Medical Cert Date
Date you earned medical cert
MM
/
DD
/
YYYY
Ham Radio license
If you have a Ham license what is your call sign?
Your answer
Uniform Info
Uniform pants are ordered by the unit and required during training. Here is sizing chart from our vendor:
https://drive.google.com/file/d/0B90ezc0aLdkbQzdDMndrOTdwdHM/view?usp=sharing
Men's Uniform Pant - Waist Size
Men's Uniform Pant - Length
Women's Uniform Pant - Waist Size
Women's Uniform Pant - Length
Uniform Shirt- Gender *
Shirts are ordered by the unit in early January. Please select your size based on this sizing chart: https://drive.google.com/file/d/0B90ezc0aLdkbQzdDMndrOTdwdHM/view?usp=sharing. You will have a chance to try one on to verify size during Orientation in September.
Uniform Shirt- Size *
T-Shirt Size *
You will have a chance to try one on to verify size during Orientation in September.
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