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ID Badge Application - Personnel

  1. Application Type*
  2. Personnel Information
  3. If "other" was selected for the Organization, enter department name here.

  4. (For BU CO Sheriff's Office, enter 5-digit employee ID.)

  5. Medical and Emergency Information

    (Medical information is optional.)

  6. Organ Donor
  7. Qualifications, Certifications, and Credentials

    Please select as many as apply. 

  8. Medical
  9. Firefighting
  10. Search and Rescue
  11. Law Enforcement
  12. Communications
  13. Transportation (Commercial)
  14. NIMS Classes
  15. Enter any specialized qualifications not listed above (keep in mind that not all qualifications are available to be selected in the state system so may not appear on your badge).  

    Unless specified, all credentials listed above represent the minimum qualification level. If you hold an advanced certification in any of the above qualifications (such as Technician-level Confined Space Rescue, instead of basic CSR), please note that information here.  Definitions for Kansas qualifications can be found at http://kansas.responders.us/resources/crmcs/qualifications-and-categories/

  16. Enter the person in your organization who can confirm your rank, role, or qualifications (if needed). 

  17. For new applications, please upload a head-and-shoulders photo.

  18. Leave This Blank:

  19. This field is not part of the form submission.