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Wilderness Rescue Team - Prospective Member Interest Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone
*
format: 1nnnnnnnnnn
Your answer
Home Address Zip Code
*
format: 5 digit zip code for a physical address based in Maine
Your answer
How did you hear about WRT?
*
MASAR
Web search
WRT Member (Please specify in the next answer below)
Other:
Required
Please briefly describe your interest in joining WRT and your outdoor experience:
*
Your answer
Medical training/certification/license:
First Aid, CPR & AED
Wilderness First Aid (WFA)
Wilderness First Responder (WFR)
Maine EMR
Maine EMT
Maine AEMT
Maine Paramedic
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