Water Rescue Team - External Application / Current Certifications

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External / Satellite Water Rescue Team Membership Request With Current Certification
Name :
Current Carroll County Fire Company you are a member or employee : Only your primary station
Previous experience on a public safety technical rescue team?:		Yes No
Do you have a current CCVESA approved physical :		Yes No
Team disciplines you are currently certified in: :		Dive(minimum basic open openwater) Dive Tender/Land Support Swiftwater Technician Swiftwater Boat Operations Surfacewater Operations Ice Rescue Open water boat operations( w/ MD Boaters Certification)
Current training certifications : If you need extra time or have difficulty obtaining a specific certification that may be older, please let us know when contacted.		Add files...
Phone Number::
Email address::
Comments :
Date of submision :		04/29/2025 0420

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