Community Support SAR Information Management System

Basic Info

* First Name

Middle Name

* Last Name

Preferred Name (If you go by another name, middle name, etc.)

Home Phone

Work Phone

Cell Phone

Cell Provider

Detailed Info

* Street Address

* City

* State

* Zipcode

Mailing Address (If different than street address)

* Email Address

* Birth Date

* Birth Place

Height (e.g. 5' 10")

Weight (lbs)

Eye Color

Hair Color

Drivers License #

Drivers License State

Military Service

Employment Status

Employer/School

Employer/School Phone

Employer/School Address

Work/School Hours

Medical Info

* Emergency Contact

* Emergency Contact Phone

* Emergency Contact Address

Allergies

Special Concerns

Background Info

SAR Experience & Notes
Please enter any other pertinent information below regarding membership to TEXSAR.

* Have you ever been convicted of a felony?

Yes

* Have you ever been convicted of a misdemeanor?

Yes

Conviction Details
Please list below dates and details of any convictions.

Note: As a first responder organization TEXSAR utilizes emails, phone calls, and SMS to send communications. You will be able to manage your communication preferences in your TEXSAR account.

TEXSAR Application

Basic Info

Detailed Info

Medical Info

Background Info