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ARRL VA ARES/RACES of Virginia
 
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ARES/RACES Registration

ARES / RACES Membership and ARRL VA Section Appointee Information

Thank you for your willingness to serve the Virginia Section and your community in times of communications emergencies or disaster.

Information submitted on this form is forwarded to your Section Emergency Coordinator, Assistant Section Emergency Coordinator, District Emergency Coordinator, your local Emergency Coordinator and a copy is maintained at the Section Level by the Assistant SM for Administration. If your local ARES unit is also registered with the Emergency Manager as the FEMA RACES unit, a roster of contact information may be given to the Emergency Manager of your jurisdiction by your local EC.

After your initial registration, if contact information, equipment or training experience changes, please use this form for making updates.

Instructions

  1. Use the Tab key to move from place to place on this form.
  2. Please don't use the Enter key when filling out the form: hitting the Enter key will end your data entry session and submit the data.
  3. Fields marked with * are REQUIRED.
  4. Your address information should be your mailing address.
  5. After you press the Submit button, you will get a confirmation e-mail, which you should keep for your records. If you do not have an e-mail address, please print this page before hitting submit.
  6. If you are not logged into the site, you will see a CAPTCHA field. If you do not enter the correct code, you will have to fill out the entire form again.
  7. Upon submission, the information on this form will immediately be sent to Christine Sokol, K4CES, Assistant Section Manager for Administration, as well as your local Emergency Coordinator, District Emergency Coordinator, Assistant District Emergency Coordinator and SEO (where applicable).
Call Sign: * License Class: *
 
First Name: *
Last Name: *
Address 1: *
Address 2:
City: * State: * Zip: *
Day Phone: ( Primary )
Night Phone: ( Primary )
Cell Phone: ( Primary )
Email 1: *
Email 2:
Select a County or Independent City served by your local ARES group: *
Note: ARRL membership is not required to be a member of ARES / RACES.
ARRL Member:   Membership Expiration Date:
Equipment Capabilities
Note:
Sound Card Data includes any of the digital modes such as PSK-31, CHIP-64, MFSK, Olivia, etc...
HF Fixed SSB CW     Packet Sound Card Data
HF Mobile SSB CW     Packet Sound Card Data
2 Meters Fixed     FM DStar Packet Sound Card Data
2 Meters Mobile     FM DStar Packet Sound Card Data
440 MHz Fixed     FM DStar Packet Sound Card Data
440 MHz Mobile     FM DStar Packet Sound Card Data

Disaster or Communications Related Training
SKYWARN
CERT
FEMA   ICS-100    ICS-700
ARRL   AECC-1    AECC-2    AECC-3
Other:

Other Capabilities
Do you have APRS capabilities? Yes No
Do you have a mapping GPS unit? Yes No
Can your home station be operated without commercial power? Yes No
Do you have any disabilities that would prevent you from serving in the field?  Yes No
     If "Yes", can you serve as a base operator from your home?  Yes No
          If "Yes", do you have internet / email capability in your shack?  Yes No
Comments

                   

Thanks for your help in keeping our VA Section ARES / RACES records up to date!