Palouse Clearwater Search and Rescue

Palouse Clearwater Search and Rescue Membership Application

Applications for membership are approved by the general membership. An applicant may be elected to membership at his/her third regular membership meeting. The Bylaws state that members must:

Be 16 years of age or older.
Be physically able to perform duties.
Have a current (minimum) Basic First Aid card, or obtain one within three months of election to membership.
Maintain necessary personal equipment to perform duties.
Maintain personal record of training.
Pass a background check by the Latah County Sheriff's Office.

Members are expected to participate in at least 50% of schedule training programs and 50% of regularly scheduled meetings.

PCSAR is a unit of the Latah County Search and Rescue Council, which supports the Latah County Sheriff. Because the Sheriff activates SAR and takes responsibility for SAR members, another condition for approval of an application is that the Sheriff conduct a background check and approve the applicant.

To begin the application procedure, please supply the information requested below, and sign to indicate your understanding and acceptance of the conditions. PLEASE PRINT NEATLY!!

Your LEGAL name (as on your driver’s license): LAST, FIRST, MIDDLE INITIAL

__________________________________________________ Date of Birth:______/______/______

An alternate name by which you wish to be known and listed as in rosters. (i.e. Gerald Smith = Jerry Smith):

Your mailing address (so we can send US mail to you):

(Street, apartment, P.O. Box...) (City) (State)

Your current physical (street) address (so we know where to drive to give you a ride, etc.):

(Street) (City) (State)

Home Telephone Number: (______)________________ Cell Phone Number: (______)________________

Other Addresses (Work, Home, Second Home….) Other Phone #’s (Work, Cell, Pager)

______ _______________________________________________ ________ (________)________________

Type Street City State Type

_______ ____________________________________________________ _________ ____________________________

_______ ____________________________________________________ _________ _____________________________

Do you have First Aid certification? yes no If yes, Level:___________, Expiration Date_____________

Please list any special skills and training below your signature. That would include things like advanced medical training, radio operations (amateur radio license), rope skills, tracking, SCUBA, dog handling, extreme mountain biking, water rescue, etc.

I apply for membership in Palouse Clearwater Search and Rescue and agree to meet the above requirements.

Signature_________________________________________________ Date:__________________________