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Tri-County REACT Membership Application

REACT is a 501(c) (3) not for profit organization, with all volunteer members. Membership is open to all interested persons who complete this application. The information that you provide on this application will be kept confidential by Tri-County's Board of Directors. The minimum age to join REACT is 18 years old. There is no maximum age limit to membership. There will be no discrimination based upon age, sex, religion, or ethnic origin.

We will sumbit your information to a law enforcement agency for a background check

If you do not wish to supply your information over the internet, you can send us an e-mail requesting an application and we will email you one for you to print out and mail back to us.

Type this address into your email program

* = required field

General Information

*Name:

*Home Phone:

*E-mail Address:

*Birth Date:

*Sex:

*Address:

Apt #:

*City:

*State:

*Zip Code:

REACT membership carries a heavy responsibility. Our members must be able to work closely with law enforcement officers and the general public in a position of trust and responsibility. This is the reason for requiring two non-family character references.
*Have you ever been convicted of a felony:  

If yes please explain:

Reference #1

*Name: *Phone Number: *Relation:

 

Reference #2

*Name: *Phone Number: *Relation:

*Why do you want to join REACT?
Communications & Organization Information
Which of these radios to you have access to: Nextel GMRS CB Amateur FRS Scanner
Licensed Amateur: If yes, call sign: License Class:
Licensed GMRS: If yes, call sign:

List any other organizations you are currently with or have been with in the past:

List any special skills or training you have:
Site created November 27, 1999 and maintained by Tri-County REACT