Personal Record

Preferred  First  Name  or  Nickname - What People call you.
Legal  First  Name
Legal  Middle  Name
Legal  Last  Name
Legal  Extension - Jr, Sr, III, etc
Your  Mailing  Address
How  Long  Have  You  Lived  Here? - How Long Have you lived at this address?
City
Zip  Code
County
State
Date  of  Birth  (  Enter  As:  MM/DD/YYYY  )  - Your DOB will also become your password when you sign up online for training.
Height
Sex
Color  Hair
Color  Eyes
Email
Home  Phone
Cell  Phone
Work  Phone
Ham  Radio  Call  Sign - If you are an Amateur Radio Operator, your Call Sign
Ham  Class - Your Amateur Radio Classification.
Association - The local Baptist Association your Church is affiliated with.
Church - The Name of your Church
Emergency  Contact/Beneficiary - Someone who will not be traveling with you.
Emergency  Phone - The phone number of your Emergency Contact.
Do  you  have  a  current  Passport?
What  Special  Skills  Do  You  Have? - Dr, Nurse, CDL, Heavy Eqpt Operator, etc.
How  Much  Notice  Do  You  Need? - How quickly you can deploy after being called.
Do  You  Have  Medical  Insurance? - You must have Medical Insurance to serve in Disaster Relief
InsuranceCarrier