Amateur Radio Emergency Service ®
St. Louis Metro ARES Registration Form

(This online form is only valid for joining St. Louis Metro ARES.
It is not applicable for any other ARES groups.)
Name:
Call Sign:
Mailing Address:
City, State, Zip code:
e-mail address(es):
Home phone number:
Work phone number:
Mobile phone number:
License class:

Check bands and modes that you can operate:

MODE HF 6 meters 2 meters 222 MHz 440 MHz Other
SSB No Yes No Yes No Yes No Yes No Yes
CW No Yes No Yes No Yes No Yes No Yes
FM No Yes No Yes No Yes No Yes No Yes
DATA No Yes No Yes No Yes No Yes No Yes
PACKET No Yes No Yes No Yes No Yes No Yes
Other modes
(specify below)
No Yes No Yes No Yes No Yes No Yes
No Yes No Yes No Yes No Yes No Yes
No Yes No Yes No Yes No Yes No Yes
No Yes No Yes No Yes No Yes No Yes
Mobile Ops No Yes No Yes No Yes No Yes No Yes

Can your home station be operated without commercial power? No Yes





St. Louis Metro ARES
Information Form

In addition to the information you provided in the ARRL section above, please also tell us the following:

Your geographical location (for example, west county, north county, City of St. Louis, etc):

Do you know the Latitude & Longitude of you home?
If you do not know, you can get the information from www.qrz.com.
Latitude: Longitude:

Have you taken the St. Louis County Skywarn training? No Yes

Have you taken the ARRL's Introduction to Emergency Communication course (EC-001)? No Yes

Have you taken the ARRL's Public Service and Emergency Management for Radio Amateurs course (EC-016)? No Yes

Have you had CERT (Community Emergency Response Team) training? No Yes
If so, through which municipality or organization?

Have you had CPR and/or First Aid training from the American Red Cross? No Yes

Have you taken any of the following FEMA Independent Study Program courses?
IS22____ Are You Ready? An In-depth Guide to Citizen Preparedness No Yes
IS100a__ Introduction to Incident Command System No Yes
IS200a__ ICS for Single Resources and Initial Action Incidents No Yes
IS317___ Introduction to Community Emergency Response Teams No Yes
IS700a__ NIMS An Introduction No Yes
IS800b__ National Response Framework, An Introduction No Yes

If you have taken any of the FEMA courses, please go to http://training.fema.gov/EMIWeb/downloads/tranrqst1.pdf and request that a transcript be sent to:

Steven J Wooten, KC0QMU
2834 Foxwood Drive
Maryland Heights, MO 63043


© 2017 St. Louis Metro ARES®