Colorado State EOC Communications Support Group

Terror Alert

QRZ Callsign Lookup

APRS FindU Lookup

Colorado State EOC Communications Unit Application Form

The information provided on this form will be used exclusively by the Colorado State EOC Communication Support Unit.

First name
Middle initial
Last name
Address
Sex	Female Male
Hair color
Eye color
Weight (lbs)
Height (ft/in)
Call sign
License class
Which RACES or ARES District are you affiliated with?	(Enter NONE if none)
Email address
Home phone
Work phone
Cell phone
Pager
Cell/Pager email address	Important - used for activations
Fax
Mailing Address (if different from above)
Emergency contact
Emergency Contact Phone
Home Base HF Capability?	Yes No
Home Base VHF Capability?	Yes No
Home Base UHF Capability?	Yes No
Portable/mobile HF capability?	Yes No
Portable/mobile VHF capability?	Yes No
Portable/mobile UHF capability?	Yes No
Generator or other backup power?	Yes No
4x4 Vehicle?	Yes No
4x4 Vehicle description
Tell us what Incident Command System classes you have completed by clicking on the appropriate buttons below. Providing electronic copies of training certificates is part of our application process. You will be contacted with more information later.
IS-100 training completed?	Yes No
IS-200 training completed?	Yes No
IS-700 training completed?	Yes No
IS-800 training completed?	Yes No
IS-Advanced training completed?	Yes No
IS Advanced desription
Other activities or training
We ask all State EOC Communications support group members to submit an application for Colorado RACES. A copy of the application form can be found at http://www.coloradoraces.net. Please fill out and sign the form, and fax or mail it to the address listed at the top of the form. Clicking 'Submit Application' sends your information to a representative of the Colorado State EOC Communication Support Unit. They will be contacting you via email to confirm receipt of your information and provide you with any additional details.