Applicant's Name_________________________________________________________
Title____________________________________________________________________
Agency_________________________________________________________________
Address________________________________________________________________
City__________________________________	State________________	Zip________
Telephone_____________________________	FAX____________________________
E-mail address (if applicable) ______________________________________________
Do you have a pager service? If so, please list your pager number ___________________
Does your pager have the capability to receive alphanumeric pages?   Yes   No

Please list the computer equipment in your office. Be as specific as possible. Include processor type (e.g., 486, Pentium, Macintosh), clock speed (e.g., 133 MHz), modem speed, amount of RAM (e.g., 32 MB) and operating system (e.g., Windows '95). Also indicate if you think this equipment could be used for OK-FIRST if you were selected as a non-subsidized participant.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Do you currently access weather data?     Yes     No

If yes, please list your sources of weather information

_______________________________________________________________________

_______________________________________________________________________

Do you have Internet access?     Yes     No

If yes, please list your internet service provider. _________________________________

Do you use the World Wide Web?     Yes     No
If so, please circle the web browsers you use.
	Netscape Navigator 2.x	Microsoft Internet Explorer 3.x
	Netscape Navigator 3.x	Microsoft Internet Explorer 4.x
	Netscape Communicator	Other: __________________

Is your Internet access available at your office? _______________________________

How many years of experience do you have in your current position? _______________

How many years of computer experience do you have? _________________________

Please list your jurisdiction or area of responsibility. ____________________________

Do you have contractual obligations that would affect your participitation?     Yes     No

If so, how much time do they represent? ______________________________________

Are you co-located with or near (within 5 blocks) of a police department, fire department, or emergency operations center (EOC)? ______________________________________

If yes, please list department. ____________________________________________

Are you willing to participate as a "non-subsidized" participant?     Yes     No

(Note: Your response will not affect your potential selection as a subsidized participant.)

Please indicate if your office is located in the local calling areas of the following cities:

Ada Altus Alva Ardmore Bartlesville Chickasha Duncan Durant Edmond El Reno Enid Goodwell Idabel Lawton McAlester Miami Muskogee Norman Oklahoma City Okmulgee Perry Poteau Purcell Sallisaw Sapulpa Sayre Seminole Stillwater Tahlequah Tishomingo Tonkawa Tulsa Warner Weatherford Wilburton Woodward Other:________________________________________________________________

OK-FIRST Project, Oklahoma Climatological Survey, 100 East Boyd Street, Suite 1210, Norman, OK 73019 Copyright © 1996-98 Oklahoma Climatological Survey. All Rights Reserved. Send comments or questions concerning OK-FIRST to dmorris@ou.edu