CWA Volunteer Firefighter Information Form

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CWA will be convening a series of 30-minute briefings by phone for first responders to learn more about FirstNet, the first nationwide broadband network specifically dedicated to America’s police, firefighters and emergency medical services.

With your help, we can connect more first responders to this important resource.

Please answer the questions below to help us learn more about your volunteer fire service.

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Full Name: *

Zip Code: *

Email Address: *

Phone Number: *

CWA Local:

Employer:

Please check one of the following *

I am a CWA member

I am a friend and/or family member of a CWA member

Not Applicable

Pflichtfrage

Please indicate whether you are an active or retired volunteer firefighter: *

Active

Retired

Pflichtfrage

Please indicate which department/district you are (were) a volunteer firefighter with: *

Please share any firefighter associations or other affiliations related to your volunteer firefighter service:

Have you heard about FirstNet? *

Yes

Maybe, but not sure.

Vaguely, but unclear about what it is exactly.

Would you be interested in participating in a 30-minute FirstNet phone briefing offered by CWA? *

Yes

I would like to receive occasional text message alerts from CWA about FirstNet and other news. (MSG and data rate may apply. View terms and conditions: https://www.cwa-union.org/pages/sms_text_message_terms_and_conditions) *

Yes

Pflichtfrage

Any questions or comments to add?

Senden

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