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Connecticut ARRL Section
Amateur Radio Emergency Service (ARES) Member Record

This is a web-based registration form. Your information will be recorded in our ARES membership database.
When finished, click the "Enter Registration" button at the bottom. You should receive a response email shortly.
Thank you for your interest in becoming part of the Connecticut ARES team. 


General Registration Information

Check one or more Don't List boxes if you do not wish the information to be printed on any rosters.
 

Please fill-in your information in the boxes below

Don't
List

:

(Required)         ARRL member?
License
Information:


(i.e. 03)
(i.e. 12)
(i.e. 2010)

Name:

       
 
 

:

//:

    (Required)

:

(Required)

:

:

:

:

:

:

:

:

(Required)

:

Date of Birth:

(i.e. 02)
(i.e. 14)
(i.e. 1955)

:

  (Used by you to keep your record up-to-date)



Band/Mode Capability Information

Specify Fixed, Mobile, and Portable for each band and mode for which you are equipped and capable:
 

160M

80-20M

WARC HF

10M

6M

2M

220

440

CW

SSB

FM

AMTOR

PACTOR

Packet

Other




Emergency Power Information

Check the appropriate boxes for emergency power at your FIXED station. Do not include automobile or alkaline/NiCad batteries for radios included in Mobile/Portable operations in the table above. This is only for home station operation.
 

160M

80-20M

WARC HF

10M

6M

2M

220

440

Battery

Generator

Solar

Other




Additional Technical Information

Check the box if Yes otherwise leave blank for No and provide additional information where applicable:

Portable/Mobile/Transport

Yes?

Digital, Weather, ATV, etc

Yes?


:


:



:


:



:


:




:


:






:




Activation Information

Check the box if Yes otherwise leave blank for No and provide additional information at the bottom of the form if needed. An answer of No is OK, since we need to know who is and who is not available for those emergencies that are not conveniently on long weekends but aren't quite severe enough to close all businesses.
 

Yes?

 

Yes?




Organizational Information

Check the box if Yes otherwise leave blank for No and provide additional information where applicable:

Yes?

Yes?



:














Examples: MARS, CAP, CG Auxilary, American RedCross, Salvation Army.







 

Yes?



If YES, please explain below. Qualified experience might include Skywarn, Non-emergency Public Service Events, and Red Cross. Please note that OES appointments require ARRL membership.





Other than training, provide any additional information you feel will be helpful to ARES. Include such things as other communications or public service memberships (notification nets, Red Cross, etc.), computer experience, electronics tech, public relations, or any special equipment you own and can make available to ARES. Please use the space below:


After entering this registration, please log back in and use the training link at the top of the page. Please enter relevant training (emergency management, incident-command, first aid/medical, search and rescue, EMT, fire-fighter, haz-mat).


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