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 $71.20 plus tax Front Desk: 336-789-2000 Must register by October 15 2019 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 18, 2019 • 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 can be found at: http://www.ncdoi.com/OSFM/Fire_Rescue_Training/Default.aspx?field1=Special_Schools_-_High_Angle_Rescue_School

Fall – Units 2 & 4 November 1-3, 2019

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: • Highline Systems • 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

NORTH CAROLINA HIGH ANGLE RESCUE SCHOOL STUDENT INFORMATION & CHECKLIST

Fall – Units 2 & 4 November 1-3, 2019 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 1, 2019 12:30 – 1:30 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) 1:30 – 6:00 pm Ground School Saturday November 2, 2019 7:30 am Assemble at Pilot Mtn Park & Ride 2 (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 3, 2019 7:15 am Assemble at Pilot Mtn Park & Ride 2 (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/PT/QD_Rescue.aspx

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 bottles � (5) 8mm Prussik slings � NFPA approved class II or III harness � 20’ – 25’ piece of 1” webbing � NFPA approved descender � (5) Locking carabiners � Knife (all purpose) � Lunch for Saturday and Sunday

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

NORTH CAROLINA

HIGH ANGLE RESCUE SCHOOL November 1-3 2019

Units II & IV SPONSORED BY: North Carolina Department of Insurance | Office of State Fire Marshal | Commissioner Mike Causey, 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___________________

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

E-mail address________________________________________________________ Unit___________________

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

E-mail address________________________________________________________ Unit___________________

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

E-mail address________________________________________________________ Unit___________________

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

E-mail address________________________________________________________ Unit___________________

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 1-3, 2019. 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

CORPORATE & CONTINUING EDUCATION REGISTRATION FORM SOCIAL SECURITY # / STUDENT ID  LAST NAME  FIRST NAME  MIDDLE NAME 

HOME ADDRESS: STREET ADDRESS  CITY  STATE  ZIP  COUNTY 

TELEPHONE NUMBER  DATE OF BIRTH (MO/DD/YYYY) GENDER (CHOOSE ONE)  ETHNIC (CHOOSE ONE) 

HOME: WORK: CELL:     (MONTH)    (DAY)    (YEAR)  ‐MALE     ‐FEMALE

 WHITE         AMERCIAN INDIAN/ NATIVE   

 BLACK          ASIAN/PACIFIC ISLANDER 

 HISPANIC     OTHER/UNKNOWN/MULTIPLE  

EMPLOYMENT  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

E4 Employed 40 or more hrs per wk

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 HOW DID YOUR HEAR ABOUT THIS CLASS?  CEHRD –HRD CEPFR –Paid Fireman CEVFR –Volunteer Firemen

CEPRS –Paid EMS/Rescue Squad CEVRS –Volunteer EMS/Rescue Squad CEPLW –Paid Law Enforcement CECPR –Paid County School Employee

CEPSM –CE EMS Military Personnel

Newspaper/Radio/TV___________________________    Employer  ____________________________________ Other  _______________________________________ SCC Website/Internet                 Family/Friend Surry Co. Workforce Center       Creating Success 

STUDENT SIGNATURE  STUDENT EMAIL ADDRESS  DATE 

DRIVER’S LICENSE NUMBER SIGNATURE OF CCE REPRESENTATIVE

COURSE TUITION  TECHNOLOGY FEE  TOTAL CHARGES

PAYMENT OPTIONS 

     CASH/MONEY ORDER       TUITION WAIVER  [Check the appropriate waiver in the above waiver section (**)]

     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 

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

OTHER FEES OTHER FEES OTHER FEES OTHER FEES

  / 

 / 

- 

- - -

FT Full-time employed 

PT Part-time employed 

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 mayenroll in continuing education courses if they submit a Surry Community College student release form which documents schoolapproval and parental consent.

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

Release of Students' Pictures: SCC uses pictures and videos of college activities and students for public information and advertising purposes. Students who do not want to appear in such photographs or videos should notify the Office of Student Services and Surry Community College Marketing Department in writing

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.