Volunteer Application Form

 

 

Probationary Member

1. Your Probationary period will begin when voted into probationary status at a membership meeting, usually the next meeting after your application has been turned in to the membership committee. You are required to be in attendance at the next meeting in which your application is to be voted on, for both probationary and full membership.

2. As a probationary member, you are expected to follow all of the general rules and bylaws that apply to full members. Members must attend 50% of all meeting and training to be considered an active member.

3. You will be assigned a "Buddy" to answer any questions or concerns that may arise. Your "Buddy" will assist you during your probationary period which lasts for three months.

4. A membership roster is enclosed in this packet for your use if your Buddy is not available. Your Buddy should be your first contact, however; any of the Field Team Leaders will assist you with any questions.

5. No equipment or logo items (patches, uniforms, or license plates) will be issued or sold to you while you are on probation.

6. While on probation, you can go on actual searches; however, you must sign up during the search as a volunteer not affiliated with Commonwealth Search and Rescue. It is recommended that a Field Team Leader be present with you during a search.

7. Sometime during your three-month probationary period, you will be required to attend a call out qualified (CQ) class given by the training officer or his designee.

8. Any copies of certifications ( EMS or GSAR) should be given to the Training Officer.

9. Review General Rules and Bylaws.

10. Never be afraid to ask questions or offer input.

 

Please complete the form below and then print!

Applications must be complete, correct and signed to be considered!

Commonwealth Search & Rescue does not determine subscriber eligibility based on sex, race, creed, persuasion 
and or religion. All applicants must be a minimum of sixteen (16) years old, have received no 
dishonorable discharges from military service and must not be convicted of any Schedule 1 offence.

 

 

Please provide the following Contact Information :

First Name
Last Name
Title
Street Address
Address (cont.)
Town
Province
Postal Code
Work Phone
Home Phone
FAX
Cell Phone
E-mail

Please Identify and Describe Yourself:

Date of Birth
Sex

  Male    Female

Height
Weight
ID Number
Hair Color
Eye Color
Employer
Occupation

Next of Kin / Emergency Contact :

Name      
Relationship
Address
Town
Province
Work Phone
Home Phone

MEDICAL HISTORY:

Please explain any "Yes" response. 
This information will remain highly confidential.

How would you describe your current health?


Blood Group:   

How would you describe your current physical condition?


Do you now have or have you had any serious medical condition?    Yes     No

Have you been hospitalized in the past year?         Yes     No

Do you have any other medical or health condition which might adversely affect
you in the field?

        Yes     No     

If Yes, please select one of the following options that may apply:

Physical
Visual

Are you Colour Blind?    Yes     No

List any allergies or medications you are currently taking:


 

EXPERIENCE AND TRAINING:

Check any areas in which you have had any Experience and or Training:

4x4 Driving Operation	Flying (as a pilot)		Search and Rescue
Abseiling		Incident Command 		Search Dogs
Backpacking/Hiking	Interview Skills		Search Fundamentals
Caving          	Land Navigation/Compass	Search Management
Cave Rescue		Law Enforcement		Survival
Map Reading		Swift Water Rescue 
Communications	Public Information/Relations	Tracking
Disaster Response    	Rope Rescue, Basic 		Other	(please specify
Firefighting         	Rope Rescue, Hi-Angle		  below)

MEDICAL TRAINING BACKGROUND:
Please identify your current medical certification level, training, or experience (if any).

CERTIFICATION

TYPE / LEVEL

CERT. NO.

 EXPIRY DATE
 (dd/mm/yy)
FIRST AID
CPR  
EMT
PARAMEDIC
MD, RN 

Please describe your experience in Medical Services:


Any Other Categories:

OFF-ROAD VEHICLE:

Type
Model
Colour
Year
Personnel in Back
Winch
Two-Way Radio/s

RESPONSE INFORMATION:

  1. Would you be able to respond to a call in the middle of the night?     
 Yes     No
  1. Would you be able to respond to a call overnight in bad weather?
 Yes     No
  1. Does your spouse and family understand the conditions of this application?
 Yes     No
  1. Do you understand that calls may come at various times of day or night?
 Yes     No  
  1. Do you understand that if at all possible you would be expected to respond to callouts (Barring family and work emergencies) ?
 Yes     No
  1. Do you understand that, once accepted as a subscriber, you will be expected to attend training and exercises on a regular basis?
 Yes     No
  1. Do you have any other emergency-response commitments that might create a conflict?
 Yes     No
  1. If Yes, Please explain:

  1. Which position are you applying for? (You may select more than one)

4x4 Operative (Transport / Logistics / Communications)
Base Ops (Communications / Incident Planning / Incident Management / Mapping)
General Search and Rescue (Search Management / Admin / Communications)
Field Operative (Mountain Skills / Communications / Rope Rescue)

 

 

 

Please note that Commonwealth Search & Rescue is a volunteer organization and there will be times
when it will not be possible for you to respond to a callout.  While you are expected
to respond whenever possible, no action is taken against members who are unable to respond.
The demands of family and career are understood and respected by CSAR.

 

 

(Please complete section below after printing!)

Commonwealth Search & Rescue

AGREEMENT AND WAIVER

I ___________________________________ , am aware that while a subscriber to Commonwealth Search & Rescue, (also known as CSAR), I may be participating in and responding to activities that are inherently dangerous, including, but not limited to, the hazards of traveling in wilderness terrain, accidents or illness, the forces of nature and travel by automobile, aircraft or other conveyance.

I understand that, except when otherwise provided, insurance, workman's compensation, and liability coverage is not provided and that I am solely responsible for any injury, illness, or other medical care required by myself while participating as a member on Commonwealth Search & Rescue activities.

I agree to maintain the minimum insurance required by law in my home state, on my 
personal vehicle if I choose to drive it on Commonwealth Search & Rescue activities and that I will be responsible  for any and all damage to my vehicle and other property while on Commonwealth Search & Rescue activities.


I do these things entirely on my own initiative, risk, and responsibility, and assert that I will do nothing
that is beyond my training and expertise.  

In consideration of the benefits to be derived, I do hereby for myself, my heirs, executors, and administrators, release and forever discharge Commonwealth Search & Rescue, its directors, subscribers, officers, and agents, from any and all claims, demands, actions, or causes of action, on account of my death or injury, or for damage to my personal property, as a result of my participation in Commonwealth Search & Rescue activities. 

I understand that if I do not feel comfortable or competent in a given situation, it is solely my  responsibility to ensure that I stop the activity immediately and in a safe manner.  I hereby agree to  abide by all rules, regulations, policies, and procedures prescribed for in the subscription to Commonwealth Search & Rescue and I understand that I may be terminated from said membership for any cause, at any time, upon written notice to myself, mailed to me at the address given on this application for subscription. 

I understand that I may voluntarily terminate my subscription to Commonwealth Search & Rescue at any time upon written notice mailed to the organization's usual mailing address, or delivered to any director of the organization, by any means.  I understand that, in order to maintain an active subscription, I must keep
Commonwealth Search & Rescue appraised of any changes in name, mailing address, or telephone number, etc. 

I desire to become an active member of Commonwealth Search & Rescue. I agree to attend the required 
number of training lectures / classes to establish and maintain my ability as a competent member of 
this organization and to acquaint myself with the duties and other members of Commonwealth Search & Rescue.


I have read and understand the requirements of this application to become a subscriber to this 
organization, and promise to abide by and adhere to the Procedures, by-laws and all operational rules 
and regulations as set forth by Commonwealth Search & Rescue to the best of my ability. 

Additionally, I attest that all the information provided by me on this application is true and correct to the best of my knowledge, acknowledging that providing false or fictitious information may result in my immediate dismissal from the organization upon discovery of such.

I UNDERSTAND AND FULLY AGREE TO THE ABOVE:  

First Name

 

Last Name

 

Date

 

  Until further notice, Please print this form and bring it with you to the general membership meeting

Filling out the above form and pressing the submit key shall constitute your acceptance of the application form and have the full weight and effect of your written signature.