NORTH CAROLINA HIGH ANGLE RESCUE SCHOOL · The North Carolina High Angle Rescue School is a progressive school offering a wide range of rescue procedures consisting of “hands on”

NORTH CAROLINA

HIGH ANGLE RESCUE SCHOOL November 7-9, 2014

Units II & IV

SPONSORED BY: North Carolina Department of Insurance | Office of State Fire Marshal | Commissioner

Wayne Goodwin, State Fire Marshal

IN COOPERATION WITH: Pilot Mountain State Park | NC Association of Rescue and EMS | Surry Community

College

The North Carolina High Angle Rescue School is a progressive school. The curriculum offers a wide range of

rescue procedures consisting of “hands-on” tasks and skills with an examination given at the end of each level.

The skills that are taught in this school are not limited to a wilderness environment, but can easily be adapted to

urban high level rescue situations. A certificate will be awarded upon successful completion of all four levels. Please list each attendee separately and indicate the level each person is requesting in the appropriate places below.

Name ______________________________________________________ SS No. (last 4 digits only) ***-**-___________

E-mail address________________________________________________________ Unit___________________











Squad/Department__________________________________________________________________________________

County____________________________________________________________________________________________

Address___________________________________________________________________________________________

City, State, Zip______________________________________________________________________________________

Daytime Phone No.__________________________________________________________________________________

I do hereby authorize the above listed personnel to attend the North Carolina High Angle Rescue School on November 7-9, 2014. To the best of my knowledge, the above personnel are at least 18 years of age and in good physical condition.

Chief Signature______________________________________________________

For Business Office Use Only

CCE REGISTRATION

COURSE NAME SECTION/ID NUMBER COURSE DATE/S

COURSE TIME COURSE LOCATION COURSE DAYS INSURANCE

For Office Use Only

INSTRUCTOR SEMESTER BILL TO

For Office Use Only

COURSE TUITION TECHNOLOGY FEE BOOK FEE BOOK REFERENCE # TOTAL CHARGES

PAYMENT OPTIONS CASH/MONEY ORDER

TUITION WAIVER [Check the appropriate waiver at the bottom of this form (**)]

CHECK - MAKE CHECK PAYABLE TO SURRY COMMUNITY COLLEGE – PLEASE INCLUDE DRIVER’S LICENSE NUMBER ON CHECK

DEBIT CARD TYPE OF CARD: VISA MASTERCARD EXPIRATION DATE (MONTH/YEAR):

CREDIT CARD TYPE OF CARD: VISA MASTERCARD EXPIRATION DATE (MONTH/YEAR):

CARD #: (Debit/Credit)

SECURITY #: (ON REVERSE SIDE OF CARD)

STUDENT SIGNATURE FOR DEBIT/CREDIT CARD

DRIVER’S LICENSE NUMBER SIGNATURE OF CCE REPRESENTATIVE

CORPORATE & CONTINUING EDUCATION REGISTRATION FORM SSN/STUDENT ID LAST NAME FIRST NAME MIDDLE NAME

HOME ADDRESS: STREET, CITY, STATE, ZIP COUNTY STATE OF RESIDENCE

TELEPHONE NUMBER DATE OF BIRTH GENDER (CIRCLE ONE) ETHNIC (CIRCLE ONE)

HOME: WORK: CELL:

(MONTH) (DAY) (YEAR)

M-MALE F-FEMALE

WHITE AMERCIAN NATIVE BLACK HISPANIC ASIAN HAWIIAN/PACIFIC ISLANDER

EMPLOYMENT CIRCLE HIGHEST GRADE COMPLETED

R Retired

E1 Employed 1-10 hrs per wk UN Unemp-not seeking emp

E2 Employed 11-20 hrs per wk US Unemp-seeking emp

E3 Employed 21-39 hrs per wk FT Full-time employed

E4 Employed 40 or more hrs per wk PT Part-time employed

0 1 2 3 4 5 6 7 8 9 10 11 12

--GED 13-AHS 14-1 yr Voc Diploma

15-2 yr Associate Deg 16-4 yr Bachelors Deg 17-Masters/Higher

**TUITION WAIVER – CHECK IF APPLICABLE

CEPFR – Paid Fireman CEVFR – Volunteer Fireman

CEPRS – Paid EMS/Rescue Squad CEVRS – Volunteer EMS/Rescue Squad CEPLW – Paid Law Enforcement

CEHRD – HRD CECPR – Paid County School Employee

STUDENT SIGNATURE STUDENT EMAIL ADDRESS DATE

Corporate & Continuing Education Division ~ 630 South Main Street ~ Dobson ~ North Carolina ~ 27017 ~ www.surry.edu

http://www.surry.edu/

The North Carolina High Angle Rescue School is

a progressive school offering a wide range of rescue

procedures consisting of “hands on” tasks and skills.

The skills that are taught in this school are not limited

to the wilderness environment, but can easily be

adapted to urban high-level rescue situations.

Students are continually evaluated during the

evolutions and receive constructive feedback. A

certificate of completion will be awarded upon

successful completion of all four units.

UNIT 2 Maximum 90 Students

Students will receive practical and hands on instruction in the following areas:

Horizontal lowers and raises with attendant

Vertical lowers and raises with attendant

Rappelling and ascending

Pick-offs

Basket Review

Held in Cooperation with: Pilot Mountain State Park NC Association of Rescue and EMS Surry Community College

Hotel Accommodations: Quality Inn

2136 Rockford Str., Mount Airy, NC 27030

Rate $65.90 plus tax

Front Desk: 336-789-2000

Must register by October 24, 2014 to get this rate

NORTH CAROLINA HIGH ANGLE RESCUE SCHOOL

In order to provide close supervision and quality instruction, class size is limited.

Attendance at this school is Pre-Paid and Pre-Registered only.

All students must be 18 or older, in good physical condition, and a member of a rescue squad or fire department.

Students must send both registration forms in this document to Surry CC at address below along with the fee for materials of $65.00 payable to Surry Community College per student.

Eligible registrations accepted on a first come, first serve basis

No refunds after October 24, 2014

The chief must sign the registration form authorizing attendance.

Students must bring all required items on the attached list to school.

This document with registration forms at: http://www.ncdoi.com/OSFM/FRTraining/FRT_High_Angle.asp

Fall – Units 2 & 4

November 7-9, 2014

Note: The format of the school has been changed to allow all units to be completed in succession. Students who have not completed Level 4 will need to attend Unit 3 which is equivalent to pre-2009 Level 4.

UNIT 4 Maximum 50 Students

Students will receive practical and hands on instruction in the following areas:

Telpher Systems

Compass Use

Practical exercises utilizing the skills acquired in the previous units.

Mail forms and payment to: Surry Community College Attn: Ian Harrell 630 S. Main Str. Dobson, NC 27017

For questions call: Ian Harrell at 336 386-3403

http://www.ncdoi.com/OSFM/FRTraining/FRT_High_Angle.asp

NORTH CAROLINA HIGH ANGLE RESCUE SCHOOL

STUDENT INFORMATION & CHECKLIST

Fall – Units 2 & 4 November 7-9, 2014 at Pilot Mountain

Complete registration packet can be downloaded at

http://www.ncdoi.com/OSFM/Fire_Rescue_Training/Documents/SpecialSchools/HARS_Brochure.pdf

Friday November 7, 2014 5:30 – 6:30 pm Registration and evaluation for ropes and knots evaluation (Students bring body cord and untied Prussik) Work Force Development Center 1200 State Str. (behind Quality Inn) 6:30 – 10:00 pm Ground School

Saturday November 8, 2014 7:30 am Assemble at Rangers Office (await shuttle) 8:00 am Orientation 8:15 am Classes 12:00 pm Lunch on the Rock 1:00 pm Classes 5:00 pm Breakdown

Sunday November 9, 2014 7:15 am Assemble at Rangers Office (await shuttle) 7:45 am Devotion 8:00 am Classes 12:00 pm Lunch on the Rock 1:00 pm Classes 5:00 pm Breakdown

NOTE: Level 2 Students will be given a Knots test immediately after registering. Students who do not successfully pass the knots test will be assigned to a remedial ropes, knots, basket work and mechanical advantages class for the weekend. Level 4 see the statement below ROPE AND KNOTS EVALUATION All levels will be evaluated

The practical rope and knots evaluation will consist of the following knots:

Bight

Loop Round Turn

Half Hitch

Overhand Knot Square Knot

Bowline Clove Hitch

(open, closed and split locking)

Figure 8 Figure 8 Loop

Double Loop Figure 8

Directional 8 Figure 8 Follow Through

Figure 8 Bend

Water Knot Butterfly Knot

Double Fisherman’s Knot

Prussik Knot

Demonstrations of these knots can be found at http://www.ncdoi.com/OSFM/RPD/quick_drills_rescue.asp

Students will have a time limit of 30 seconds to complete each knot. Students who do not successfully complete the ropes and knots evaluation will be assigned to a remedial class for the weekend.

LEVEL 4 STUDENTS WILL (WITH A PARTNER) DRAW A CARD FOR EITHER A VERTICAL OR HORIZONTAL BASKET AND HAVE A 10 MIN TIME FRAME TO COMPLETE THE SKILL IN ORDER TO BE ADMITTED INTO THE LEVEL.

Equipment Checklist

Chief Officers: Please make sure all members applying for the school have the below equipment

All classes will be outside, hands-on exercises; therefore, students should be prepared for any type of weather conditions.

NFPA approved Rescue Helmet w/ chin strap

Leather palm gloves

Boots suitable for climbing (no tennis shoes)

Sufficient clothing (for all weather)

25’ ½” life safety rope

Day pack w/ water bottle

(5) 8mm Prussik slings

NFPA approved class II or III harness

20’ – 25’ piece of 1” webbing

Rescue 8 descender

(5) Locking carabiners

Knife (all purpose)

Lunch for Saturday and Sunday

Compass, preferably base plate type (UNIT 4 ONLY)

Bag Lunch will be in your group on the mountain.

For more information call NCAREMS at 1-800-262-7559

For emergencies during class hours call Pilot Mountain State Park at

336-325-2355

http://www.ncdoi.com/OSFM/Fire_Rescue_Training/Documents/SpecialSchools/HARS_Brochure.pdf

http://www.ncdoi.com/OSFM/RPD/quick_drills_rescue.asp

Important Student-Related Policies

Any person eighteen years of age or older may be admitted to a continuing education class. Sixteen and seventeen year olds

may enroll in continuing education courses if they submit a Surry Community College student release form which documents

school approval and parental consent.

A student who wishes to withdraw from a continuing education course must contact the corporate and continuing education

office prior to or on the 10% point of the scheduled hours of the class to be eligible for a refund. A 75% refund will be given

if the student requests the refund in a timely manner.

Some policies regulating student behaviors are necessary on any college campus. When you register for one or more classes at SCC,

you must agree to abide by all of its policies, and you document this agreement, as well as your receipt of the information below, by

your signature on the front of this form. Complete copies of these policies are available in the Student Development Office and will

be provided to you upon request. Listed below are summaries of some of the most important ones. Please consult the Vice President

for Student Development for additional information and/or clarification of any policies.

Drug-Free Student: Drug use and abuse by students has become an immediate concern in our society. Drug users may endanger

other students and the college educational environment. Therefore, it is the policy of Surry Community College that the manufacture,

distribution, dispensation, possession or use of a controlled substance is prohibited while on college grounds. Use of any drug

authorized by medical prescription from a registered physician is not considered a violation of this rule. However, students will be

held strictly accountable for their behavior while under the influence of prescribed medicines.

Information Technology Acceptable Use: Electronic information technology systems are essential tools for learning and research

provided for student use. It is the policy of the college that the facilities be used ethically and legally, in accordance with applicable

licenses and contracts, and according to their intended use for educational purposes in support of the college’s mission and goals.

Examples of specific activities that are not permitted include (1) sending or displaying offensive messages, pictures or materials; (2)

using obscene language, harassing, insulting or attacking others; (3) damaging electronic components, computers, computer systems,

or networks, including knowingly transferring viruses; (4) violating copyright laws or using others’ passwords; (5) trespassing in

others’ files, folders or storage areas of any kind; (6) intentionally wasting limited resources; (7) using the network for commercial,

political or any unlawful purposes; and (8) installing any personal software on college equipment.

Sexual Harassment: All employees and students are guaranteed the right to work and learn in an environment free from sexual

harassment. This behavior is considered a form of discrimination based on sex, and as such is prohibited by Title IX of the

Educational Amendments of 1972, which prohibits sex discrimination against students and employees in educational institutions

receiving federal funds.

Prohibition of Weapons on Campus: No person, whether student, employee, or visitor, may possess or carry, whether openly or

concealed, any weapon on any campus or other educational property of Surry Community College.

Unlawful Demonstrations, Violence, or Force: Recognizing the right of dissent, criticism, and protest, it is the policy of the college

to give full and prompt attention to such expression presented in a lawful manner. However, the use of unlawful violence,

disturbances, demonstrations, force, the occupying or damaging of property or intimidation will not be tolerated.

Campus Security: The SCC Campus Security Report is available on the college website (www.surry.edu). This report provides

statistics on past occurrences of crimes committed on college property, information about crime prevention, crime reporting, and

policies concerning campus security. If you would like a paper copy of this report, you may obtain one in the Student Development

Office.

Graduation Rates: Title II, Public Law 101-542, dated November 8, 1990, requires educational institutions to disclose graduation

rate data. Such data for Surry Community College are available in the Office of Planning and Institutional Research, Richards Health

Sciences Building, room H-218.

Voter Registration: Voter Registration Application/Update forms are available in the Student Development Office.

Surry Community College provides educational and employment opportunities without regard to race, religion, national origin, age, gender, or disability.

For additional information, contact the Office of the Vice President for Academic and Student Affairs.

http://www.surry.edu/