Gwinnett ARES Online Member Application

Amateur Callsign      License Class Select license class Extra Advanced General Technician Novice

Year First Licensed    License Expiration Date
                                 (xxxx)                                                           (xx/xx/xxxx)                          
 
First Name      Last Name
 
Home Street Address
 
City , GA     Zip
                                                                         (xxxxx-xxxx)
County of Residence Gwinnett Barrow Dekalb Forsyth Fulton Hall Jackson Walton
 
                                                                                                Primary Contact Number
Home Phone Number     
                                        (123-456-7890)
Cell Phone Number                        
                                                     (123-456-7890)
Work Phone Number      
                                                     (123-456-7890)

Primary Email Address  

Alternate Email Address

Comments or other information:
 

The Amateur Radio Emergency Service (ARES) is a voluntary organization of licensed radio amateurs who have registered their capabilities and equipment for providing emergency communications as a public service to the community.  The purpose of ARES is to provide emergency communications in the event of a natural disaster or other emergency where regular communications are inadequate.  Sponsored by the American Radio Relay League (ARRL), ARES functions at the local level to meet local communications needs.

Upon completion of the application and acceptance by Gwinnett ARES, you agree to participate in training and other activities to develop and enhance communications skills to support emergencies.  Upon acceptance, you will provide and maintain information on your skills, capabilities and available equipment to assist Gwinnett ARES in supporting emergency communications.

 
Select Yes No    I am interested in supporting Emergency Communications through
                          the Amateur Radio Emergency Service and agree to abide by the
                          By-Laws of Gwinnett ARES.