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* 1. CaName

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* 2. Home Address

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* 3. 24-Hour Contact Number

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* 4. Secondary Contact Number

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* 5. Professional Email Address

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* 6. Sponsoring Agency/Department

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* 7. Sponsoring Agency/Department Address

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* 8. Supervisor's Name

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* 9. Supervisor's Phone Number

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* 11. Desired IMT Position(s)

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* 12. For each IMT position selected indicate if you are credentialed (NWCG or FEMA) or a trainee.

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* 13. If you are a trainee, do you have an open task book?

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* 14. By submitting this application, you agree to participate in Team & Section meetings throughout the year, which may include multi-day team exercises. You are also agreeing that you will be available to deploy for up to 10 business days during your rotation in the annual rotation schedule.

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