To apply for membership in the Swan Mission Search and
Rescue, Please fill out the following information and present the application
to a SMSAR member or bring it to a meeting. Meetings are scheduled
for the first Mondayof each month and are normally held at the Bigfork
Volunteer Fire Hall at 7 PM.
SMSAR APPLICATION FOR MEMBERSHIP
Full Name _____________________________________ Date of Birth_________________
Age _______
Address _____________________________________________ Home Phone ______________________
How long living in the community? ________________________ Work Phone ______________________
Social Security # _______________________________ Are you bondable?
Yes _______ No __________
What skills do you have that will benefit the organization? _______________________________________
______________________________________________________________________________________
Have you ever been arrested? _________ If so, for what and when: ________________________________
______________________________________________________________________________________
Do you have a current First Aid or CPR card? ________________________________________________
What type of drivers license do you have? _____________ License # ______________________________
How much time can you give the group? __________ __________________________________________
Will you be able to make all meetings and training? If not explain
why: ___________________________
______________________________________________________________________________________
List any other volunteer organizations that you currently belong to or have
recently left: (Rescue, Fire, QRU, etc:) _____________________________________________________________________________
Reason for leaving the other organization(s): __________________________________________________
Are you a problem drinker? _______ Do you have any drug addiction?
____________________________
Current Employer: ________________________________ Years with this employer:
________________
Will your employer allow you to miss work when engaged in a search? ____________________________
Will you purchase all necessary equipment needed to remain an active member
of this organization? _____
Personal equipment that you currently own that could be used for searches:
_____ 4x4 truck _____ Snowmobile
_____ Boat ______4-Wheeler
______ Waverunner
_____ Snowshoes _____ Scuba Gear
_____ Mountain Rescue Equip. (Climbing rope, harness, etc)
List any other equipment you have that may help on a mission: ___________________________________
List any medical problems such as heart problems, diabetes, lung problems,
etc: that may limit your ability on searches: ____________________________________________________________________________
______________________________________________________________________________________
List any medications that you are currently taking: _____________________________________________
Height: _____________ Weight ______________ Eyes (color) ____________ Hair
(color) ____________
(OVER)
Please give a brief description of why you wish to become a member of the
Swan Mission Search and Rescue Association:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
List three references: Name Address
Phone
1. _________________________________ ____________________________
_____________________
2. _________________________________ ____________________________
_____________________
3. _________________________________ ____________________________
_____________________
I hereby affirm the above statements are true and also give my full consent
to a personal background check by the Sheriff of Lake County, with the understanding
that any information obtained will not be disclosed to members not on the
membership review board. I further agree, if accepted, to participate
in all missions, meetings, training, and activities of the Swan Mission Search
and Rescue Association to the best of my abilities.
APPLICANT SIGNATURE _________________________________________ DATE ____________
($35.00 Application Fee Must Be Included)
(Administrative Use Only):
Membership Status and Dates of Progression:
Application Received: ___________ Sent for Sheriff's Office Check ___________
Returned ___________
Board of Directors Discussion ______________ Approved: _____________ Disapproved
_____________
General Membership Discussion ____________ Approved: _____________ Disapproved
_____________
President ________________________________________________________ Date
_________________
Director _________________________________________________________ Date
_________________
Director _________________________________________________________ Date
_________________
Director _________________________________________________________ Date
_________________
Director _________________________________________________________ Date
_________________
Contact Information
Swan Mission Search and Rescue
P.O. Box 1854
Bigfork, MT 59911
Jack Ganiere
(406)-837-6818
This page last updated December 30, 1999