1. For ARES: your local ARRL Emergency Coordinator (or the ARRL).
2. For RACES: your local RACES Radio Officer.

In order to serve effectively as a volunteer member of the emergency staff, access to otherwise restricted areas, such as the EOC, may be associated with RACES participation and assignments. To the extent that similar requirements exist for other members of the emergency staff with access to restricted areas, a limited background check for RACES applicants may be performed.

This is an application is for ARES ONLY at this time (chose one): Both ARES & RACES ARES only RACES only (Dual membership is encouraged. ARRL membership NOT required.)

Indicate bands/modes you can operate: Which have emergency power at your home station?

  Callsign:   Year First Licensed:
License Class:Novice Technician Tech Plus General Advanced Extra
 Last Name:    First Name: 
    Street:          Apt: 
      City:        State:  Zip: 
Home Phone:   Work phone: 
      Cell:         Pager: 
 Nextel DC:  147.06 pager: 
     Email:   
Person to notify in case of illness (Name/Phone): 

SKYWARN Member:Yes  No

The following is also required for RACES membership. Business Name: Occupation: Business Addr: U.S. Citizen:Y N Marital Status: Date of Birth: Height: Hair Color: Eye Color: Any previous military service? Y N Ever convicted of a crime? Y N Give details: Ever denied membership in any RACES organization? Y N Give details: Last radiological training (Year & Month, if known): Character References (use callsigns): 1: 2: Signature: Date: