Assignment Entry Form ASSIGNMENT ENTRY ADMIN ACCESS User ID ADMIN_ROSANNA01 User ID ADMIN_K3MRI There is only one volunteer position available per assignment entry allowed. If the assignment requires more than one volunteer, create the same number of entries as volunteers needed and number the role (e.g., Radio Setup Volunteer 1, Radio Setup Volunteer 2, etc.). Assignment title * Name of Opportunity * Assignment status * Draft Posted Assigned Confirmed Cancelled Completed Note: Assignments with the status "Draft", "Posted" and "Assigned" will show up on the front-end and is viewable for volunteers. Overall experience 1 Star 2 Stars 3 Stars 4 Stars 5 Stars How would you rate your overall experience with this assignment? After action report Upon completion of your assignment, this box appears allowing you to directly enter your after action report here. Assignment details Special instructions related to this specific assignment Location type * Same as opportunity No specific address Specific address Location/Venue name of opportunity Latitude Longitude Assignment country * Pick country United States Guam Puerto Rico Andorra United Arab Emirates Afghanistan Antigua and Barbuda Albania Armenia Angola Argentina American Samoa Austria Australia Azerbaijan Bosnia and Herzegovina Barbados Bangladesh Belgium Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Bolivia Brazil Bahamas Bhutan Botswana Belarus Belize Canada Cocos (Keeling) Islands Congo (DRC) Central African Republic Congo Switzerland Cote d'Ivoire Cook Islands Chile Cameroon China Colombia Costa Rica Kosovo Cuba Cape Verde Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Eritrea Spain Ethiopia Finland Fiji Micronesia France Gabon United Kingdom Grenada Georgia Ghana Greenland Gambia Guinea Equatorial Guinea Greece Guatemala Guinea-Bissau Guyana Hong Kong Heard Island and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Ireland Israel India British Indian Ocean Territory Iraq Iran Iceland Italy Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts and Nevis Korea (North Korea) Korea (South Korea) Kuwait Cayman Islands Kazakhstan Laos Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Luxembourg Latvia Libya Morocco Monaco Moldova Madagascar Marshall Islands Mali Myanmar (Burma) Mongolia Macau Northern Mariana Islands Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Nigeria Nicaragua Netherlands Norway Nepal Nauru New Zealand Oman Panama Peru French Polynesia Papua New Guinea Philippines Pakistan Poland Saint Pierre and Miquelon Portugal Palau Paraguay Qatar Romania Russia Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Saint Helena Slovakia Sierra Leone San Marino Senegal Somalia Suriname Sao Tome and Principe El Salvador Sweden Syria Swaziland Turks and Caicos Islands Chad French Southern and Antarctic Lands Togo Thailand Tajikistan Tokelau Timor-Leste (East Timor) Turkmenistan Tunisia Tonga Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda United States Minor Outlying Islands Uruguay Uzbekistan Saint Vincent and the Grenadines Venezuela U.S. Virgin Islands Vietnam Vanuatu Wallis and Futuna Samoa Yemen South Africa Zambia Zimbabwe Lebanon Macedonia Montenegro Niger Serbia Singapore Slovenia Vatican City Christmas Island Mayotte Guadeloupe Bouvet Island Niue Guernsey Isle of Man Jersey Anguilla British Virgin Islands Falkland Islands (Islas Malvinas) Gibraltar Pitcairn Islands South Georgia and the South Sandwich Islands Faroe Islands French Guiana Martinique Reunion Aland Aruba Netherlands Antilles Svalbard Ascension Tristan da Cunha Palestinian Territories (Gaza Strip and West Bank) Western Sahara Antarctica Assignment state / prov. * Pick state / prov. Assignment city * Assignment postal code * Assignment location street address Location details Assignment type * Portable outdoors Portable indoors Mobile unit Base station outdoors Base station indoors Non-operating assignment Pick the main aspect of the assignment. Select multiple only if absolutely necessary. Likely operating bands EHF SHF UHF VHF All HF 10m 15m 17m 20m 30m 40m 60m 75/80m 160m 630m 2200m Likely operating mode Phone/SSB CW Digital data Digital voice AREDN OtherOther Needed radio equipment details Are there specific equipment requirements for this assignment? Assignment recommendations Warm clothing Rain gear Safety shoes Safety helmet Work gloves Additional batteries Flashlight First AID kit Health mask Particulate mask Cell phone Official ID Military ID Tent - sleeping Tent - operating Bedding BYOF (food) BYOW (water) Some cash Would you like to enter another assignment? * Yes No By clicking "Yes", you will be directed to another "Assignment Entry" to submit another assignment for your opportunity. Submit If you are human, leave this field blank. Δ