RF-DASH Training Registration

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Required format:

Please complete the survey below to register for an upcoming RF-DASH training event.

Please be sure to indicate the location and date of the training you would like to attend. A list of upcoming RF-DASH trainings is provided below. Thank you!

Upcoming RF-DASH Trainings:

May 30, 2026 - Tupper Lake, NY
June 13, 2026 - Delavan, NY
June 20, 2026 - Waterville, NY

Training Location (City, State):

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Training Date:

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M-D-Y

First Name:

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Last Name:

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Address:

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City:

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State:

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Zip Code:

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Phone (Daytime):

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Email Address:

Which of the following best describes your occupation? You may select more than one.

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Firefighter

EMS

Law Enforcement

Farmer

Other

Please Describe:

What fire department are you representing?

How many years have you been a firefighter?

Which of the following best describes your work as a firefighter?

Paid

Paid-on-call

Volunteer

Other:

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Please describe:

What EMS department/agency are you representing?

How many years have you been an EMS provider?

Which of the following best describes your work as an EMS provider?

Paid

Paid-on-call

Volunteer

Other:

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Please describe:

What law enforcement agency are you representing?

How many years have you been in law enforcement?

Have you or your department/agency ever responded to a farm emergency?

Yes

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How many farm emergencies have you or your department/agency responded to in the last year?

None

1-2 calls

3-5 calls

6-10 calls

10+ calls

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Please provide a brief description of the farm emergencies you have responded to in the past year (Note: this is optional):

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How well do you understand farms and farm operations?

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How prepared is your department for a farm emergency?

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Have you ever had an injury or other emergency situation on your farm?

Yes No Prefer not to answer

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Please briefly describe the injury/emergency event:

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How prepared do you think your local emergency services are to respond to an emergency event on your farm?

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How confident are you in your ability to accurately assess farm hazards?

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Do you plan to implement aspects of RF-DASH with farms and/or first responders in your area in the next 6 months?

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Yes

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May we provide you with any assistance or materials for conducting your own training in the next 6 months?

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Yes, I would like to conduct my own training in the next 6 months and will require materials/assistance from the RF-DASH team.

No, I do not plan to conduct my own training in the next 6 months.

No, I plan to conduct my own training in the next 6 months but do not require materials/assistance from the RF-DASH team.

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