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IEC/R Classifier Application Form

⬇ Download IEC/R Classifier Application Form

Application for position

  • IEC:
    • TL, DTL, Management, Search, Rescue, Logistics or Medical
  • IER:
    • TL, DTL, Management, Search, Rescue, Logistics or Medical
  • In training:
    • TL, DTL, Management, Search, Rescue, Logistics or Medical

Personal data

  • Name
  • Surname
  • Nationality
  • Email
  • Phone
  • Organisation
    • Name of organisation you represent
    • Your position in the sending organisation
  • Language skills
    • English (speaking and writing)
    • Other languages
    • Remarks

USAR Team

  • Are you a member of a USAR Team?
    • Yes or No
    • Team name/occupation related to USAR if not a member of a USAR Team
  • What is your role in the team
    • TL, DTL, Management, Search, Rescue, Logistics or Medical
  • Is your team INSARAG certified
    • Yes or No
    • Year of IEC
    • Year(s) of IER(s)
    • Remarks

IEC/IER

  • Have you participated in any IEC
    • Yes or No
    • How many IECs
    • Your function in your last IEC
    • Remarks (i.e. other IECs you have participated in)
  • Have you participated in any IER
    • Yes or No
    • How many IERs
    • Your function in your last IER
    • Remarks (i.e. other IECs you have participated in)
  • Have you mentored any team
    • Yes or No
    • How many as IEC Mentor
    • How many as IER Mentor
    • Which Teams have you mentored for an IEC/R
    • As trainer/coach of national team
  • Have you been involved in IEC/R preparations in your country
    • Yes or No
    • As EXCON
    • As USAR Team Member
    • Other roles (specify)

International Experience

  • Have you participated in USAR Missions
    • Yes or No
    • Year
    • As USAR Team member (Yes or No)
    • Remarks
  • Have you participated in INSARAG events
    • TL Meetings (how many)
    • Working Groups member (Yes or No)
    • ERE Exercised (how many)
    • Other (type and number of participations)

Training

  • Are you UNDAC trained
    • Yes or No
    • Any missions (yes or no)
    • Remarks
  • Are you ICMS trained
    • Yes or No
    • INSARAG Secretariat co-organised (yes or no)
  • Have you participated in the INSARAG Leadership Course
    • Yes or No
    • Year

Candidate Signature

Policy Focal Point Signature

Operational Focal Point Signature

USAR Team Focal Point Signature