PICKENS COUNTY EMERGENCY
COMMUNICATION GROUP (PCCG)

 page: home → /pq202.php
(last updated: Sun, March 10, 2024 12:44 gmt)
 

 

 

Membership Application and
Information Verification

 

This form is used by prospective new members to apply for membership and also for existing members to update their Pickens County Emergency Communications Group (PCCG) membership status & contact information.

There are a total of 12 questions in this form and three web pages. The first web page (this page) is used to collect your information; the second is a "read back" verification page; and the third page can be printed for your records after the application has been submitted to PCCG.

 

Read the second page carefully and if you find any errors, you can simply come back to this page and correct any issues.   Once you are satisfied that the information shown on the verification page is correct, follow the instructions at the top of that page to submit your updated information to the PCCG.

After submission, the form will be redisplayed so that you can print a copy for your files.

 


4:02 pm, Tuesday, December 10, 2024

Question 1:

What is your Full (Legal) name?    
Please enter your name as shown on your FCC Radio License or on your State Drivers License.

[First Name]   [Middle Name]   [Last Name]       [Suffix]
       
(Example:   John                       Q                                         Public                           III  )

Question 2:

What is your nickname or preferred first name?  
If left blank, your first name will be used on any Membership Rosters.
(Example:   Some folks named "William" prefer to be called "Bill", and some "Suzanne's" like "Suzi".
                  The Membership Roster only lists your first (or preferred) name and your last name.)

Question 3:

What is your address?
Please enter your address as shown on your FCC Radio License or on your State Driver's License.

(Street)                   
(suite / apartment)  
(City)                      
(State)                    
(Zip)                       
(Your address will NOT appear on any Membership Rosters.)

Question 4:

What is your real email address?  
If you have been assigned a PCCG forwarding address like "____@wx4pg.org"
    do not enter that one here.   Instead enter your "real" email address.
You may also enter alternate email addresses if desired.
    (Separate them from each other with a comma or spaces.)

Question 5:

What Telephone Numbers can you be reached at?
Enter phone numbers as a 10 digit number nnn-nnn-nnnn (area code first), followed by any extension numbers.
Extensions numbers (if any) should be entered starting with an "x" followed by the number.

Indicate if the Phone number can be published in the membership roster or not,
    and if there are any restrictions such as "No calls after 9pm" or "Emergencies only"
      (example: 864-123-4567 x1234)


(cell)                 list on roster? Yes No
            Restrictions?

(home)             list on roster? Yes No
            Restrictions?

(work)             list on roster? Yes No
            Restrictions?

Which number do you prefer to be called on?     Cell   Home   Work

Question 6:

This section is required for a background check, and will not be retained in our Membership Database.


What is your Social Security Number?

  (SSN)      (Your SSN will NOT appear on our Membership Database.)


What is your State Driver's License number?

(State)       (License Number)  
                              (License Class)   
        (Are any restrictions listed?)   
    (Are any endorsements listed?)    (usually only applies to a CDL or Class "A", "B" or "C" license.)
      (Your Driver's License information will NOT appear on any Membership Rosters.)



Please select one of the following three items. Your response will be timestamped and will serve as
your signature or initials authorizing or revoking permission to have a background check conducted
by the Pickens County Emergency Management Department.


    1. Permission is hereby granted for Pickens County to conduct a Background Check.

    2. Permission is NOT granted for a Background Check to be conducted.

    3. Undecided. Permission is neither granted nor revoked for Pickens County to conduct a
              Background Check.     I also understand that not granting permission at this time may
              delay my PCCG membership application, and that additional signed paperwork may
              be required at a later date.

Question 7:

Special Projects...

Are you retired?   Yes   No

Are you available for special projects or Callouts during weekday daylight hours?
  Yes   No   Maybe


Please identify any special restrictions or issues that might apply?


(This information will NOT appear on any Membership Rosters.)

Question 8:

Radio Licenses (Callsigns) or Permits

The answer to the question of "Exactly WHO licenses Radio transmissions?" is a very complex topic.   Within the United States, there are two separate agencies that coordinate and license wire-line and radio based communication systems.   Some communication services require that Licenses be issued to individuals or legal entities, and other services are licensed on a "rule only" basis. While the two agencies manage their particular consituents' use of the spectrum, both coordinate with each other.

The NTIA (National Telecommunication and Information Administration) has authority over federal radio communications including: National Defense, Law Enforcement & Security, Transportation, Resourse Management & Control, Emergencies.

The FCC (Federal Communications Commission) has authority over nonfederal communications such as: Business, State & Local Government, Entertainment, Commercial, Private.

In addition to the issuance of a callsigns (station or individual), some individuals might also hold special "Operator" or "Maintainer" type licenses, authorizing them to operate and/or maintain certain types of transmitting equipment.   These are now commonly called "Commercial Operator Licenses" and are sometimes granted for the users lifetime.   Commercial Operator Licenses do not convey FCC authorization to transmit radio signals, and holders should always make certain that the station is licensed as required by the FCC.




Do you hold a license, permit, or certificate that falls under the authority of any of the following Federal Agencies?


      (NTIA licenses include CAP, MARS, SHARES, or other Governmental agencies.)
      (FCC   licenses include Amateur, GMRS, FRS, CB, Business/Industrial, and Commerical)


        NTIA Yes   No   Don't know.

          FCC Yes   No   Don't know.

General Classifications

  (If you hold two or more licenses in a particular category,
          list all of them, separated by commas and/or blanks.
  The first one listed, will be treated as your Primary Callsign.)


What callsigns do you hold, or have access to? (select all that apply)

FCC Part 97 rules [Amateur Radio] (licensed by Exam)
  Amateur Radio (Part 97)
Callsign or Callsigns?  
License Class?     None.   (use to clear selection from next row.)
 Novice Class.  Technician Class.  General Class.  Advanced Class.  Extra Class.


FCC Part 95 rules [GMRS] (licensed by Application)
  I do not have access to GMRS (Part 95)
  GMRS (Part 95)     [I am the license holder]
  GMRS (Part 95)     [The License Holder is an immediate family member]
Callsign or Callsigns?  


FCC Part 95 rules [FMRS] (licensed "By Rule")
  FMRS (part 95)
  I have one or more legal FMRS radios. I do not have any FMRS capable radio equipment.
Callsign or Handle?  


FCC Part 95 rules [CB] (licensed "By Rule")
  11-meter Citizens Band (part 95)
  I have one or more legal CB radios. I do not have any CB capable radio equipment.
Callsign or Handle?  


FCC Part 90 rules (Licensed by Application)
  Business / Industrial / Land Mobile / Public Safety (Part 90)
Callsign or Callsigns?  


Licensed or Permitted under other FCC or NTIA rules
      (This category would also apply if you are licensed under NTIA/FCC rules
        and your agency does not permit station identification public disclosure.)

  I hold a License/Certificate authorized by other NTIA rules.   (CAP, MARS, SHARES, ...)
  I hold a License/Certificate authorized by other FCC rules.

Special FCC Radio Operator and/or Maintainer Certificates (Commerical Licenses)

Prior to 2008, these were known as First Class Radiotelephone Operators Licenses, Second Class Radiotelephone Operators Licenses, Third Class Radiotelephone Permits, and Restricted Radiotelephone Permits.   Some of these Licenses were issued with various Endorsements. In 2008 and again in 2015 some license terms were extended to the lifetime of the holder. Other licenses were reclassified as "Commercial Radio Operator Licenses".   Some Licenses or Certificates are issued "by applicaton", others require you to pass an exam.

                (Please select the highest level license / certificate you currently hold.)

 

  I do not hold any FCC issued Certificates or Licenses.

  I hold an FCC "Commercial Radio Operator" License.
  I hold an FCC "Operator/Maintainer" Certificate.
  I hold an FCC "Maintainer" Certificate.
  I hold an FCC "Operator" Certificate.

  One or more FCC Certificates that I hold was issued for "Lifetime".

Question 9:

When were you first associated with the PCCG?
(Enter the approximate year either as a 4-digit value,  
    or as YYYY-MM or YYYY-MM-DD.)

Question 10:

Do you agree to receive "Emergency Notifier Messages" from PCCG
      on your Cellphone?   Yes   No   I do not have a cellphone.

(All Emergency Notifier messages are sent as SMS text messages, and are not sent very often.
  A test message might be sent once a month.
  A charge from your Cellphone provider may apply for text messages.)


What is the name of your Cellphone provider or carrier.  
If you don't know your carrier's name, leave the box blank.
(Examples:   FirstNet, AT&T, Verizon, Sprint, T-Mobile, Consumer Cellular, Cricket, MetroPCS,
                    Straight Talk, TracFone, U.S. Cellular, Virgin Mobile, etc. )


Do you know what the email address is that can be used to send text messages
from a computer or tablet to your cell phone?  
(If yes, please enter that email address in the box.   If not, leave the box blank)

Question 11:

Question 11 is a multipart question ---
Information entered here will be added to the roster for member reference.


Allstar and Echolink are Internet linking systems designed to allow you to connect via radio (or sometimes by telephone) to a remote system, which is often an Amateur Radio Repeater, but could be an individual Amateur Radio station.

DMR is an identification number assigned to Digital Radio units.

HSHL (Hamshack Hotline) is a dedicated VOIP (Voice over Internet) telecom service for the Ham Radio community, and which requires a user provided VOIP telephone handset. (The HSHL service is free, for more details see: Hamshack Hotline)


Note:   We are looking for assigned unit or Node numbers.

            If you have multiple assignments for a given item,
                    please separate them with commas or blanks.
            If you do not know the answer, or if it does not apply,
                    please leave the box blank.




11.1 Do you have an SC County or City assigned Radio unit number?  
(If yes, please enter the County or City name, Agency, and your unit number.   If not, leave the box blank)

11.2 Allstar nodes?      
11.3 Echolink nodes?    
11.4 DMR IDs?            
11.5 HSHL IDs?          

Question 12:

Do you have any comments or Questions?

Feel free to identify or list any special skills that you might have that might be beneficial on an occasional basis to the PCCG group...
...For instance,   Do you have any computer programming or web design / support skills?   Or are you a skilled Tower Climber?
Can you troubleshoot radio / repeater issues?   Locate RFI?   Do you have any other hobbies like Photography or...

 

---73---


All membership information on this page is considered "Private and Confidential" and is treated as "Personal Identifying Information" (PII) and will not normally be shared with anyone outside of the Pickens Country Emergency Communications Group (PCCG), and the official Pickens County Emergency Management Office staff.

The official Privacy policy for the Pickens County Emergency Communications group can be viewed here.

 

The official Privacy policy for the Pickens County Emergency Management Office can be viewed here.




 


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page last modified: March 10, 2024 08:44. GMT