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Membership Application Form

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|Thank you for showing an interest in joining REACT UK Water Rescue Team |

|REACT UK is a non government voluntary organisation set up to provide a trained team of volunteers in order to assist the emergency services, local |

|authorities and other organisations in times of emergencies and disasters such as extreme weather incidents such as flooding, and other incidents. |

|The team can be called out at any time of the day or night to incidents across the Tayside & Fife areas. |

|Members take part in our activities at their own risk. |

|Please complete this application form and send by post to:- The Secretary, REACT UK, Broughty Ferry Castle Barracks, 1 Castle Approach, Broughty Ferry, |

|Dundee DD5 2TF. |

|Name: Date of Birth: |

|Address: Telephone (Home): (Work): |

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|Post Code Mobile no: Email: |

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|Describe any previous water rescue experience: |

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|Describe what you consider is your level of competence in the application of: swiftwater rescue, water rescue, boat skills, technical rope rescue, medical, |

|navigational skills: |

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|Give any additional details / qualifications that you consider may support this application e.g. First Aid ,RYA, BSAC, RLSS, etc |

|Please state briefly your reasons for wishing to join REACT UK WRT: |

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|Is there any physical or medical condition that may affect your ability to fulfil your role as an operational member of REACT UK WRT? |

|Do you give your permission for your data to be held on computer in accordance with the DATA Protection Act, for REACT UK WRT incident operations and mailing|

|purposes? Please tick the appropriate box. |

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|YES ( NO ( |

|How did you find out about REACT UK Water Rescue Team? |

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|Please provide the name and address of two character referees: |

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|Name: Name: |

|Address: Address: |

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|Tel no Tel no |

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|When your application and references are received we will invite you to an interview and induction and where appropriate an open water swim assessment. This |

|will be about 2-4 hrs long and will give you the opportunity to talk with the team leader about REACT UK and the impact membership may have on your personal |

|life. |

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|Please be advised that full membership of REACT UK Water Rescue Team is subject to satisfactory completion of a Non Police Personnel Vetting 2 (NPPV2) and or|

|a Protecting Vulnerable Groups (PVG) vetting checks. |

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|Involvement in waterborne operations carries with it an element of personal danger. I am aware of, and accept this risk, and I accept responsibility for my |

|own actions and involvement. |

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|Signature: _____________________________________________ Date: ________________________ |

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|Failure to declare any information such as medical conditions/ailments may affect your application to join REACT UK Water Rescue Team and its contact with |

|the general public will invalidate your membership and team insurance. |

For REACT UK use only.

Date application assessed______________________ I.D documents checked: YES / NO Accepted: YES / NO

Application assessed by: ______________________ PVG / NPPV screening: _____________________

Additional comments if applicable: ______________________________________________________________________________________________

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