SAR Information Management System

Basic Information

* First Name

Middle Name

* Last Name

Maiden Name/Married Name

Preferred First Name

* Cell Phone

Cell Provider

Home Phone (If different than your cell number)

Work Phone

* Email Address

Detailed Information

Physical Address

* Street Address

* City

* State

* Zipcode

Mailing Address (If Different Than Physical Address)

Street Address

City

State

Zipcode

* How long have you been a resident of Texas?

* Date of Birth

* Birth Place (City, State or Country)

* Are you a US citizen/legal resident?

* Height (e.g. 5' 10")

* Weight (lbs)

* Eye Color

* Hair Color

* Drivers License #

* Drivers License State

* Military Service

Military Status

In case of an emergency on a deployment, please provide

* License Plate Number(s)

* Year, Make and Model of Vehicle(s)

Employment/School Information

* Employment Status

* Employer/School

* Employer/School Phone

* Employer/School Address(street, city, state, zip)

Typical Work Hours and Days of the Week (e.g., 8-5 Monday-Friday)

Medical Information

* Any known medical or physical concerns including allergies?

Emergency Contact Information

* First Name

* Last Name

* Phone

* Relationship

Street Address

* City

* State

* Zipcode

Background Information

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

How did you hear about TEXSAR?

* Have you ever been convicted of or pled guilty to a felony?

Yes

* Have you ever been convicted of or pled guilty to a misdemeanor?

Yes

Conviction Details
If you entered yes to either of the above 2 questions, please explain. Include dates, locations, and details of the 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

All fields marked with * are required.