Thank you very much for having the desire to serve your community, and help to fulfill Amateur Radio's FCC mandate of public service in time of emergency. Please fill out the following form, which will be forwarded to your local ARES Coordinator, and the KY Section Emergency Coordinator.If the text you are typing is longer than the form field, don't worry as the text will scroll as you type.

Fields with a * are required and this form will not submit unless filled out.

By submitting this form, you attest that all information is complete and accurate.
Name:* Email:* Callsign: License Class: Address: City/St/Zip: County:     Day Phone: Evening Phone: Cell Phone: ARRL Member: Yes No Amateur Radio Organizations You Are A Member Of: Please list the bands you can work: (Check all that apply) Data: HF VHF/UHF 1.2 GHz Packet: HF VHF/UHF 1.2 GHz CW: HF VHF/UHF 1.2 GHz SSB HF VHF/UHF 1.2 GHz FM HF VHF/UHF 1.2 GHz Other: HF VHF/UHF 1.2 GHz What Bands Do You Have Emergency Power For? HF VHF/UHF 1.2 GHz
Please describe your qualifications: (experience, and/or interest)