Wildland Fire Crew Registration Form
Register as a wildland fire crew member and provide your readiness information for deployment.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name and Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Crew Role Applying For
*
Please Select
Squad Member
Squad Boss
Crew Boss
Sawyer
Medic
Driver/Operator
Other
Current Wildland Fire Certifications
*
S-130/190 Basic Wildland Firefighter
FFT2
FFT1
Squad Boss
Faller/Sawyer
ICT5
Other
Availability for Deployment
*
Available Immediately
Available Within 1 Week
Available Within 2 Weeks
Not Available at This Time
Prior Wildland Firefighting Experience
*
None
1-2 Seasons
3-5 Seasons
More than 5 Seasons
Are you physically able to perform wildland fire crew duties (including hiking, carrying equipment, and working in extreme conditions)?
*
Yes
No
Do you have your own Personal Protective Equipment (PPE) and basic wildland gear (helmet, fire-resistant clothing, boots, gloves, etc.)?
*
Yes, fully equipped
Partially equipped
No, will need equipment provided
Register
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