Tx Army Mars Form PDF Details

Fulfilling a crucial role within the communications framework of the military, the APPLICATION FOR ARMY MILITARY AFFILIATE RADIO SYSTEM (MARS) is an essential document for individuals and organizations seeking to be part of an esteemed network facilitating emergency and auxiliary communications. This comprehensive form gathers detailed information necessary for the application, renewal, modification, or transfer of a MARS license. It categorizes applicants by individual, civilian club station, military unit station, agency station, and auxiliary, requiring specific details such as the type of license, current MARS call sign if applicable, and the applicant's or organization’s information including point of contact. The form also delves into the technical capabilities of the station, including frequency ranges, mode of operation, emergency power availability, and willingness to modify equipment to meet MARS requirements. Furthermore, it addresses the applicant's willingness to be deployed in support of MARS missions, thus highlighting its role in emergency preparedness and response. Applicants are also asked about previous MARS membership and to agree to abide by all rules and regulations, demonstrating the system’s structured and regulatory environment. With provisions for the protection of personal information under the Privacy Act Statement, the form balances operational necessity with individual privacy. Understanding this application process reveals the detailed and rigorous approach taken to ensure that those joining the MARS network are well-equipped, committed, and aligned with the mission’s values and objectives.

QuestionAnswer
Form NameTx Army Mars Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmars online application, mars application, mars application army form, application for m7m mars

Form Preview Example

APPLICATION FOR

ARMY MILITARY AFFILIATE RADIO SYSTEM (MARS)

Type of license requested:

Purpose of Application:

If renewal, modification, or transfer, provide

[

] Individual

[

] New

current MARS callsign:

[

] Civilian Club Station

[

] Renewal (Existing)

 

[

] Military Unit Station

[

] Modification (Existing)

 

[

] Agency Station

[

] Transfer (Existing)

 

[

] Auxiliary

 

 

 

 

 

 

 

 

If applying for a military unit station license, please identify component:

Active Component [ ] National Guard [ ] Reserve [ ] Corps of Engineers [ ] Other [ ]

Name of Individual applicant or organization (military, club or agency):

If military unit, club or agency, name of point of contact/station custodian:

 

Mailing Address

City

 

County

 

 

State

Zip+4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail

Home Phone

 

Work Phone

 

Cell Phone

 

 

 

 

 

 

 

 

 

 

 

DOB: (17 years old min.)

Signature of parent or guardian if applicant is less than 18 years of age:

 

 

 

 

 

 

 

 

 

 

 

 

 

FCC amateur radio license call sign;

 

 

 

Class of license

 

 

 

 

 

 

(appilicant attach a photocopy of your license)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prior membership in MARS ? (Army, Air Force or Navy-Marine Corps):

Yes [ ]

No [

]

 

 

 

 

(If Yes to the above, list service, callsign, month & year and - listing currrent or most recent information first)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service:

Call Sign:

 

 

 

Dates:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service:

Call Sign:

 

 

 

Dates:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If applying for a Club Station, enter three active Army MARS Members call signs as part of the club station:

Custodian:

Member:

Member

 

 

 

STATION CAPABILITIES

(List all ranges of frequencies on which your station will operate)

High Frequency Range (2-30 MHZ):

Very High Frequency Range (30 - 300 MHZ):

 

 

If you are not currently capable of operating on MARS frequencies, are you willing to modify your equipment to do so upon acceptance

into the program?

Yes [

]

 

No [

]

 

 

 

 

 

 

 

 

 

 

 

Are you willing to be deployed to support the MARS mission?

Yes [

]

No

[

]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Modes your station is presently capable of operating:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOUND CARD MODES

 

 

PACTOR

AMTOR

 

RTTY

 

PACKET

 

PHONE PATCH

CW

 

(SSTV, PSK-31, MT-63)

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(please List)

 

HF:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VHF:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emergency Power: (e.g. Generator, Battery)

Yes [

]

No [

]

 

 

Computer Yes[ ] No [ ]

 

Do you have a moble station

Yes [ ]

No [

]

HF [

]

 

VHF [ ]

Digital

[

]

 

 

DA FORM XX-3, FEB 2007

Page 1 of 2 Pages

PRIVACY ACT STATEMENT

Under the authority of 5 U.S.C. 301 and 10 U.S.C. 133, the information requested on the Army MARS Application for Membership is for the purpose of establishing, renewing, or modifying MARS membership. The form will be maintained as part of official Army MARS records. The information on this form will not be divulged without member’s written consent to anyone other than established MARS officials. Disclosure of the information requested on this form is voluntary. However, failure to provide this requested information may result in disapproval of the application or inordinate delays resulting from additional research required to establish satisfactory eligibility.

Check Appropriate Block

Yes

No

Do you agree to publication of your telephone number on MARS rosters and newsletters which may be made available to the general MARS membership?

Do you agree to abide by all Army MARS Rules, Regulations, Policies, and Directives?

Do you certify that you are a citizen of the United States or an individual who has been lawfully admitted to the United States for permanent residence under Chapter 12 , Title 8, of the United States Code?

Signature of Applicant:

DATE:

If Military Unit Station, Unit Commander Signature/Title:

DATE:

AUXILIARY APPLICANTS ONLY

Briefly describe what particular skill(s) can you offer to support Army MARS?

******APPLICANT - DO NOT COMPLETE BELOW THIS LINE ******

FOR STATE DIRECTOR USE ONLY

 

 

Yes

No

Are there active VHF training nets in your state?

 

 

 

Can this applicant operate on state and region HF frequencies?

 

 

 

Do you recommend Approval of this applicant? (If No, attach a letter describing your

 

 

objections)

 

 

 

State Director Signature:

Date:

 

 

 

 

 

 

 

When completed, forward to MARS Headquarters for processing

FOR COMMAND USE ONLY

MEMBERSHIP ADMINISTRATION :

Assigned MARS Call Sign:

Date Assigned:

Expiration Date:

Initials:

Distribution: 1 copy to State Director, 1 copy to MARS HQs

DA FORM XX-3, FEB 2007

Page 2 of 2 Pages