For membership outside the Westchester County, NY area contact:

1. For ARES: your local ARRL Emergency Coordinator (or the ARRL).
2. For RACES: your local RACES Radio Officer.

In order to serve effectively as a volunteer member of the emergency staff, access to otherwise restricted areas, such as the EOC, may be associated with RACES participation and assignments. To the extent that similar requirements exist for other members of the emergency staff with access to restricted areas, a limited background check for RACES applicants may be performed.

This is an application for (choose one): Both ARES & RACES ARES only RACES only (Dual membership is encouraged. ARRL membership NOT required.)

Indicate bands/modes you can operate: Which have emergency power at your home station?

	160	80	40	30	20	17	15	10	6	2	220	440	900	1.2
ATV
CW
FM
RTTY
SSB
Packet
Mobile
Handheld
Emergency Power

  Callsign:   Year First Licensed:
License Class:Novice Technician Tech Plus General Advanced Extra
 Last Name:    First Name: 
    Street:     Apt: 
      City:   State:  Zip: 
Home Phone:    Work phone: 
      Cell:         Pager: 
 Nextel DC:  147.06 pager: 
     Email:   
 Text page:  (e.g. 9145551234@vtext.com)
Person to notify in case of illness (Name/Phone): 

SKYWARN Member:Yes  No

The following is also required for RACES membership.
Business Name: 
   Occupation: 
Business Addr: 
U.S. Citizen:Y N  Marital Status:  Date of Birth:
Height:  Hair Color:  Eye Color:  
Any previous military service? Y N
Ever convicted of a crime? Y N
Give details: 
Ever denied membership in any RACES organization? Y N
Give details: 
Last radiological training (Year & Month, if known): 
Character References (use callsigns):
1:  2:

Signature: Date:


Either:
 application to n2ygk@weca.org -OR-
   Snail mail application to:
  N2YGK, 144 Washburn Road, Briarcliff Manor, NY 10510