Cherokee County Search and Rescue Team Application Form Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone Question Title * 4. Address Question Title * 5. Are you a North Carolina Licensed Vehicle Driver? Yes No License Number Question Title * 6. Occupation and Employer Question Title * 7. List your qualifications that will be of service for the organization Search Training Medical Training Rescue Training Law Enforcement Maps & Navagation Communications Incident Command Other (please specify) None of the above Question Title * 8. Reference Name Question Title * 9. Reference Contact Information Question Title * 10. Reference Name Question Title * 11. Reference Contact Information Question Title * 12. Have you been convicted of a felony Yes No If Yes, please explain I herby grant Cherokee County Search and Rescue permission to investigate any and all information provided in this application.I further understand falsifying any information on this application, is at the sole discretion of the membership grounds for immediate separation from CCSAR Question Title * 13. Signature Done