ARES ON-LINE APPLICATION

Neil, W4NHL - ASM/Section Emergency Coordinator

Please provide the following contact information (ALL BOXES MUST CONTAIN SOME DATA OR N/A TO SUBMIT APPLICATION):

First Name

Last Name

Street Address

Address (cont.)

City

State

Zip/Postal Code

County

Home Phone

E-mail

Enter your callsign?

Click on Class of License?

Do you own a HT?

YES
NO

What bands does your HT cover?

2 METERS     220          440          1.2Ghz     
DUAL BAND  TRI-BAND

Do you own a mobile rig?

YES
NO

What bands does your mobile rig cover?

2 METERS     220          440          1.2Ghz     
DUAL BAND  TRI-BAND   HF

Can you operate HF?

YES
NO

What HF bands can you operate?

160 METERS  80 METERS   75 METERS   60 METERS 
40 METERS   20 METERS   17 METERS   15 METERS 
12 METERS   10 METERS   6   METERS

What are you Ham Radio Interests? (Please enter your interests or N/A in the below box. Do not SKIP or leave blank!)

Do you own a 4 wheel Drive vehicle?

YES
NO

Do you have any health problems or disabilities which might restrict your ARES activity? (If yes, please explain! If No, please state "NO" Do not SKIP or leave blank!)

Are you available to assist on a Communications Assistance Team (CAT) in disasters areas elsewhere, for periods up to one week at a time?

YES
NO

Please enter any comments related to "CAT" activities here. (Please enter your CAT comments in the below box or enter "N/A" if you have no comments. Do not SKIP or leave blank!)

* NOTE: If you receive a page that states "Not Found". The requested object does not exist on this server. The link you followed is either outdated, inaccurate, or the server has been instructed not to let you have it. Please inform the site administrator of the referring page. - Re-check your application for un-answered check marks to question blocks or empty comments in comments blocks. THIS FORM MUST BE COMPLETE AND CONTAIN DATA IN EVERY BOX (ADD N/A IF NOT APPLICABLE) IN ORDER TO VERIFY YOUR ANSWERS! YOU WILL THEN RECEIVE AN ACKNOWLEDGEMENT THAT YOUR APPLICATION HAS BEEN ACCEPTED AND FORWARDED TO THE WCF SEC.

Thank you for your interest in joining the West Central Florida Section Amateur Radio Emergency Service (ARES). Should you have any other questions, please call me at (727)797-6681 or Email me at: w4nhl@arrlwcf.org. (Don't forget to press the SUBMIT Form button!)

73.....Neil, W4NHL - ASM/Section Emergency Coordinator

Last Updated:Saturday, July 12, 2008 13:11:28

Comments to: webmaster@arrlwcf.org

First Name
Last Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
County
Home Phone
E-mail