SIERRA MADRE SEARCH & RESCUE TEAM MEMBERSHIP APPLICATION
"Anywhere in the wilderness that someone needs help..."
Email address *
Name *
First and last name
Your answer
Home Address *
Your answer
Home Phone *
Your answer
Work Phone
Your answer
Cell Phone
Your answer
CA drivers license # *
Your answer
Age *
Your answer
Height *
Your answer
Weight *
Your answer
Married? *
Spouse's Name
Your answer
# of Children
Your answer
Are you a student? *
Where?
Your answer
Major
Your answer
Year
Your answer
Employer
Your answer
Employer Address
Your answer
Present position *
Your answer
How long? *
Your answer
Do you have any physical impairment? *
If so, describe
Your answer
Have you ever been arrested? *
If so, give complete details
Your answer
Name anyone you know who is a member of an LA County Search & Rescue Team:
Your answer
Describe the type location, season, and frequency of any hiking, backpacking, mountaineering, rock climbing, or ice climbing that you have done. Include any other training or experience you feel might be applicable: *
Your answer
Please write a short paragraph on why you want to join the team: *
Your answer
Give a brief list of the major pieces of backcountry equipment that you have. Include the manufacturer if known: *
Your answer
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