Search Technician Application Form Search Technician Application Form Fields marked with * are required Full Name * Your Email * Mobile Contact Number * Home Address * Full address including post code Date of Birth * Blood Group if known * Occupation, Job Title or Description * Work Hours * e.g. 9-5 Mon-Fri or N/A Would you be allowed to leave work to attend callouts? * Yes No N/A Are you regularly available on weekdays? * Yes No Are you regularly available on evenings and weekends? * Yes No Do you have a full driving licence? * Yes No Do you have a LGV driving licence? C1, C, C1E, CE. * Yes No Do you have use of a motor vehicle? * Yes No Your vehicle model i.e. Ford, Vauxhall, Land Rover etc. Vehicle Registration Number Any Medical Qualifications? Have you an Enhanced DBS? * Yes No If Yes, Certificate Number Is your DBS on the Update Service? Yes No N/A If Yes, Update Reference Number Next of Kin - Full Name * Relationship * Next of Kin - Contact Number * Next of Kin - Email Address * Relevant information Any other details you think are relevant to your application. Declaration Accept I understand that being a member of 'Search and Rescue - Lincolnshire' is an active service that may place physical and mental pressures on those who participate; also, that it is my responsibility to inform the Team Leader of any health condition or change of health condition that may affect my safety and wellbeing whilst on rescue training exercises and incidents or that may jeopardise the effective completion of a rescue incident. 'Search and Rescue - Lincolnshire' retains information about its members in electronic and paper form. All information from this form will be kept on file. This information will not be disclosed to any agencies outside Search and Rescue – Lincolnshire. Ticking this box indicates your acceptance of the above. Submit