NFL Section Appointment Application – ARRL North Florida Section

What section position are you applying for? *

Name *

Email *

Address 1 *

Address 2

City *

State *

Zip *

County of Residence *

Phone (1) *

Phone Type (1) *

Phone (2)

Phone Type (2)

Hamshack Hotline Number

County you are applying to be EC for... *

Does your ARES team have a relationship with your served agency? *

Is there an existing relationship with your local Emergency Management office, etc.?

Name of primary served agency:

Please list the primary agency that your ARES team provides support to.

Name of Agency Representative (if applicable)

If your ARES team has a relationship with your primary served agency, who we may contact at your served agency to discuss your application?

Agency Representative's email address:

Agency Representative's contact phone number:

Agency Representative's extension (if applicable)

About You

Amateur Radio Callsign *

Amateur Radio License Class *

Technician
General
Extra
Advanced
Novice

Operating Capabilities

Select the operating capabilities that you have available.
Fixed is a permanent station in a building, mobile is a vehicle based station and portable is something like a go-kit that can easily be transported and setup at another location.
Select All that apply

Data (e.g. Winlink, PSK31, etc)

HF Fixed
HF Mobile
HF Portable
VHF/UHF Fixed
VHF/UHF Mobile
VHF/UHF Portable

Packet

HF Fixed
HF Mobile
HF Portable
VHF/UHF Fixed
VHF/UHF Mobile
VHF/UHF Portable

HF Fixed
HF Mobile
HF Portable
VHF/UHF Fixed
VHF/UHF Mobile
VHF/UHF Portable

SSB

HF Fixed
HF Mobile
HF Portable
VHF/UHF Fixed
VHF/UHF Mobile
VHF/UHF Portable

HF Fixed
HF Mobile
HF Portable
VHF/UHF Fixed
VHF/UHF Mobile
VHF/UHF Portable

Digital Voice (e.g. DSTAR, Yaesu Fusion)

HF Fixed
HF Mobile
HF Portable
VHF/UHF Fixed
VHF/UHF Mobile
VHF/UHF Portable

Please list the digital voice modes you can operate

Other (please specify)

Additional Information

ARRL Member *

Present ARRL appointments

Former ARRL appointments

Please describe your related experience

Training Courses

ICS-100
ICS-200
ICS-700
ICS-800
ICS-120
ICS-230
ICS-235
ICS-240
ICS-241
ICS-242
ICS-244
ICS-288
G-300
G-400
EC-001
EC-016
AUXCOMM

Please select all training that you have completed and have certificates of completion

Please list any additional relevant training courses or certificates

.

Please tell us what makes you the right candidate for this position? *

Captcha *

What is the highest license class issued in the United States (5 characters)

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