Kent County Emergency Services Team Membership Application
By Completing this application:

I hereby give Kent County Emergency Services Team, Kent County RACES, and Kent County Search and Rescue (collectively “KCEST”) permission to inquire into my educational background, references, licenses, police records, and employment and/or volunteer history. I also give permission to the holder of any such information to release it to KCEST.
 
I hold KCEST harmless of any liability, criminal or civil, that may arise as a result of the release of this information about me. I also hold harmless any individual or organization that provides information to the above-named agencies. I understand that KCEST will use this information only as part of its verification of my volunteer application.
 
I understand the information obtained will be used as one basis for acceptance or denial of appointment. I hereby discharge, release and indemnify KCEST, their agents, employees, and all parties that rely on this release and/or the information obtained with this release from any and all liability and claims arising by reason of the use of this release and dissemination of information that is false and untrue if obtained from a third party without verification.
 
I have read and understand the above information and assert that all information provided by me is true and accurate.

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Do you understand this is a 100% volunteer position and you will not be paid or reimbursed for anything you do? *
What Volunteer Position are you applying for? For job descriptions please see our website *
Required
First Name *
First Name
Last Name *
Last Name
Date of Birth *
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/
DD
/
YYYY
Email *
Best Contact Phone number *
Primary Address Street *
Primary Address City *
Have you ever been convicted of a crime: misdemeanor or felony? *
Required
If you answered yes, to the conviction question, please explain below.  This will not automatically exclude you from membership.
Have you had any contact with law enforcement over the past 5 years? If so please list. 
Do you have a Valid Michigan drivers license? *
Required
Best way to reach you? *
Are you 18 years of age or older? *
Are you an amateur radio operator? If Yes, License Class and callsign
Why are you a good fit for this position? *
Do you understand the time commitment that is required to join an emergency services organization? *
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