Responding Team Roster Submission Form

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Please complete this form when you have your team members identified. This information is critical to the IMT as they prepare for your arrival. 

If you have an electronic document with the names of your team members and their gender you can upload that document rather than enter the individual team member information.

Be sure all the information is correct before you hit the submit button.

A copy of your report will be emailed to your convention SBDR director, the Response IMT, and the SBDR Planning email.

You will also receive a copy of your report.

The incident this unit/tean is deploying to
The incident this unit/tean is deploying to
Deployment Location*
Which convention are you from?
Put your assigned unit number here
Put your assigned unit number here
Please Select Unit Number from Drop Down List
Put your assigned unit number here
TX, SBTC Unit Number/Team Name*
Select your unit(s) here
Type in your assigned unit number/team name if not listed above
Put your assigned unit number here
Replacement Team
Check this box if you are replacing a team be sure to use the same Unit Number or Team Name so the IMT knows who you are replacing.
Substitute Roster
Check this box if you are submitting s substitute roster. Re-enter or upload the complete roster with needed corrections..
Unit/Team Type*
What type of activity are you deploying to do? Check all that apply.
Recovery Type*
What type of recovery work are you able to do? Check all that apply.
What type of Heavy Equipment do you have?
Can we send text messages to this phone*
Enter your email address
Are you the Unit/Team leader
Is the person filling out this form the Unit/team leader?
Unit/Team Leader contact while deployed
Texts*
Can we send text messages to this phone?
Departure Date*
Date the team will leave home for the response field
ETA*
:  
When do you expect to arrive at the assigned response location?
Return Date*
Date the team will leave the response field
Number of female team members
Number of males on the team
Total number of team members

Team Roster

You can either enter your team member names one at a time here or you can upload a file with your team member information.

Uploaded file can be MS Word, MS Excel, PDF, JPG or Text

Upload team roster?*
Upload your team roster
No File Chosen
File uploads may not work on some mobile devices.
Unit/Team Leader*
Person 2

Please be sure to select the appropriate Gender for each team member. If helps ensure the proper housing arrangements are made for your team.

Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
Add additional team members

11-20

Person 11
Person 12
Person 13
Person 14
Person 15
Person 16
Person 17
Person 18
Person 19
Person 20
Add more?
Do you need to add more team members?

21-30

Person 21
Person 22
Person 23
Person 24
Person 25
Person 26
Person 27
Person 28
Person 29
Person 30

Review And Then Submit

This is the information you have entered.

If this information is correct click the Submit Form button at the bottom of the page.

If you need to make any changes click the Back button at the bottom of the page.

 

{$25862013 Convention}

{$25861741 Unit Number/Team Name}

{$27346674 Unit/Team Type} {$27346951 Recovery Type}

 

Unit/Team Leader: {$25861738 Unit/Team Leader Firstname} {$26235777 Unit/Team Leader Lastname}

{$25861746 Unit/Team Leader Phone} {$25862042 Unit/Team Leader Email}

Reporter: {$25862028 Your Firstname} {$26235856 Your Lastname}

{$26227471 Your Contact Number} {$25862029 Your Email Address}

 

Response: {$25861747 Response}

Deployment location: {$26155888 Deployment site} {$25862137 Deployment Location}

Departure: {$25861749 Departure Date} ETA:  {$25861751 ETA}

Return: {$25861750 Return Date}

Number women: {$25861769 Female team members}

Number men: {$25861768 Male team members}

 

{$25861856 Unit/Team Leader} {$25861858 Leader Gender}

{$25861787 Person 2} {$25861788 Gender 2}

{$25861793 Person 3} {$25861796 Gender 3}

{$25861798 Person 4} {$25861799 Gender 4}

{$25861849 Person 5} {$25861850 Gender 5}

{$25861851 Person 6} {$25861852 Gender 6}

{$25861763 Person 7} {$25861765 Gender 7}

{$25861933 Person 8} {$25861934 Gender 8}

{$25861936 Person 9} {$25861938 Gender 9}

{$25861939 Person 10} {$25861940 Gender 10}

{$25861977 Person 11} {$25861978 Gender 11}

{$25861982 Person 12} {$25861983 Gender 12}

{$25861992 Person 13} {$25861994 Gender 13}

{$25861996 Person 14} {$25861997 Gender 14}

{$25861998 Person 15} {$25862011 Gender 15}

{$25864709 Person 16} {$25864714 Gender 16}

{$25864715 Person 17} {$25864717 Gender 17}

{$25864718 Person 18} {$25864719 Gender 18}

{$25864720 Person 19} {$25864721 Gender 19}

{$25864722 Person 20} {$25864723 Gender 20}

{$25864737 Person 21} {$25864739 Gender 21}

{$25864740 Person 22} {$25864742 Gender 22}

{$25864744 Person 23} {$25864745 Gender 23}

{$25864746 Person 24} {$25864748 Gender 24}

{$25864749 Person 25} {$25864750 Gender 25}

{$25864752 Person 26} {$25864757 Gender 26}

{$25864755 Person 27} {$25864753 Gender 27}

{$25864758 Person 28} {$25864759 Gender 28}

{$25864761 Person 29} {$25864762 Gender 29}

{$25864763 Person 30} {$25864765 Gender 30}

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