Chester County ARES-RACES
Online Member Registration Form

Fill in the following personal information. All items listed are required.

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Last name:
First name:
Call Sign:
License Class:	Not LicensedNovice TechnicianTech+General Advanced Extra ClassOther
E-mail address:
Mailing Address:
City:
State:
Zip:
Day Phone:
Eve Phone:
Pager:
Fax:
In which Chester County municipality or adjacent area do you reside?	Atglen Borough Avondale Birmingham Caln Charlestown Coatesville Cochranville Downingtown East Bradford East Brandywine East Caln East Coventry East Fallowfield East Goshen East Marlborough East Nantmeal East Nottingham East Pikeland East Vincent East Whiteland Easttown Elk Elverson Franklin Highland Honey Brook Borough Honey Brook Twp Kennet Square Kennet Twp London Britain London Grove Londonderry Lower Oxford Malvern Modena New Garden New London Newlin North Coventry Oxford Borough Parksburg Penn Pennsbury Phoenixville Pocopson Sadsbury Schuylkill South Coatesville South Coventry Spring City Thornbury Tredyffrin Upper Oxford Upper Uwchlan Uwchlan Valley Twp Wallace Warwick West Bradford West Brandywine West Caln West Chester Borough West Fallowfield West Goshen West Grove West Marlborough West Nantmeal West Nottingham West Pikeland West Sadsbury West Vincent West Whiteland Westtown Willistown Lancaster County Berks County Montgomery County Delaware County New Castle Co., DE Cecil Co., MD Other
My current employment/work status is:	Full time Part time Retired
The nearest Chester County hospital to me is:	Brandywine Hospital Chester County Hospital Jennersville Regional Medical Center Paoli Memorial Hospital Phoenixville Hospital Vererans Administration Med. Ctr.
My drive time from home to the hospital indicated above (min.):
My drive time from home to the Chester County Government Services Center, 601 Westtown Rd, West Chester (min.):
My current ARRL member status is:	Not a member Current member Life member
I have a 4-wheel drive vehicle available.	Check here if you do.
My status as a volunteer with other emergency organizations:	I'm not a member of another emergency organization. MARS member. Fire Company volunteer. EMT or Rescue Squad. Salvation Army. Red Cross. Other Organization.
Current auxillary power status of my home station is:	No Aux. Power Solar/Battery System Generator/Battery System Battery only Generator only Other
If you have auxillary power, what bands can you operate without commercial power?	HF 6 Meters 2 Meters 440 MHz
Bands I operate CW:	HF 6 Meters 2 Meters 440 MHz
Bands I operate FM:	HF (10 Meters) 6 Meters 2 Meters 440 MHz
Bands I operate SSB:	HF 6 Meters 2 Meters 440 MHz
Bands I operate Digital/Packet:	HF 6 Meters 2 Meters 440 MHz
Bands I operate mobile:	HF 6 Meters 2 Meters 440 MHz
Bands I operate portable:	HF 6 Meters 2 Meters 440 MHz
Other modes I can operate:	ATV (Fast-scan Amateur Television) APRS (Automatic Position Reporting System)
Please provide your Social Security Number. It will be handled in confidence and high security. This is needed for your Chester County government RACES authorization and ID credentials:	- -
Comments or additional personal or technical information:

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CCAR, ARES and RACES
CCAR is a volunteer organization of licensed radio amateurs who register their capabilities and equipment for providing emergency communications as a public service to the community.

The Amateur Radio Emergency Service (ARES), is a field organization of the American Radio Relay League (ARRL). ARES community service events are generally in cooperation with well known charitable fundraising organizations and are considered part of CCAR training.

The Radio Amateur Civil Emergency Service (RACES)--as stated in Part 97 Amateur Radio Service, Federal Communications Commission Regulations [97.407]--requires that a participating Amateur station be "certified by a civil defense organization and enrolled in that organization." This registration form is an addendum to the CCAR roster on file with the Chester County Department of Emergency Services, our Civil Defense sponsor. We suggest that you carefully read Part 97 (with emphasis on 97.407 concerning RACES) for additional information. RACES training exercises are conducted by the Chester County Government, usually in cooperation with PEMA and/or FEMA.

Active Membership Requirements
In order to maintain an informed, prepared and effective volunteer emergency communications group, CCAR has minimum requirements to stay in active status. The active member requirement is participation in a minimum of one activity each month. Activities are (1) public service events, (2) weekly information net check-in, (3) exercises, (4) training sessions, and (5) meeting attendance. Activities provide information and familiarity that helps to minimize confusion during a real incident call out. Charitable or community public service events have several purposes and are truly hands-on training opportunities that identify equipment capability, proper communications interaction and tactical effectiveness.

I understand and agree to the CCAR active membership requirements.

I agree.

Training
Emergency communicators with experience know that normal amateur radio operating skills are not enough in an emergency. The ARRL has set a standard for the training of Amateur Radio emergency volunteers with their three-level emergency communications courses and certifications. CCAR has adopted the Level I Emergency Communications Certification as the standard for active member knowledge and operating skill. We strongly encourage continuous improvement through training, self-study and practice, which is necessary for effectiveness and to maintain the respect of our government sponsors and served agencies. CCAR maintains an active training and examination program by which members can easily earn all three levels of certification.

Please indicate your current skill and knowledge of emergency communications (emcomm).

I have a Level III certification. I have a Level II certification. I have a Level I certification. I have ARES-RACES experience and feel confident about my skills. My emcomm knowledge and operating skills are rusty. I have no emcomm knowledge and I want to learn.