Central Jersey Technical Rescue Preliminary Application

If you are interested in joining a SAR team, take a moment to consider joining our team. There are many jobs available from a ground pounder to serving in the command post. We take pride in our team work, professionalism, leadership and ability in the field.

To submit an application, you must:

Be at least age 17 at time of application

Have current medical certification to at least the level of Basic First Aid and CPR

Be a US citizen

Have a valid driver's license

Be a resident of New Jersey, Pennsylvania or New York.

If you are accepted by the team, you will need to pass a "Computerized Criminal History" check by the NJ State Police

Preliminary Application for Membership

Name: Birth Date:

Address: Phone:

E-Mail:

Employer or School:

Business Phone:

SAR, CPR, First Aid, Firefighting or other Training:

Name of Course Date Completed Location/Organization

References: Please list 2 character references other than relatives:

Name Mailing Address Phone Number

Are you or have you been a member of any public safety organization? (SAR Team, Police Department, Fire Department, EMS Squad)

Yes No

If yes, please include name of the organization, dates of membership, and reason for leaving.

Squad or Department	Dates of Membership	Reason for Leaving

What type of membership are you applying for?

Active (responding to SAR calls)
Affiliate (assisting with administrative and other non-emergency functions

If interested in Affiliate Membership, in which areas would you like to work? We have a need for help in the following areas.

Fund Raising Publicity Building & grounds Administration Computer/office Technology Communications Other

Please mail the preliminary application to the address below. This application will be reviewed by the Membership Committee of the Central Jersey Technical Rescue Team. If you do not receive an email/phone response acknowledging your application within 2 weeks, please contact the office at (908) 889-4976.
Membership
Central Jersey Technical Rescue
P.O. Box 106
Fanwood, NJ 07023-0106

Preliminary Application for Membership
Name:			Birth Date:
Address:			Phone:
			E-Mail:

Name of Course	Date Completed	Location/Organization