That is a very specific form template. I doubt you’d find that exact template here.
But to search for a template, type into the Search Forums field on the right and click the Search button. All the forums will be searched though, and not just the Template Exchange forum.
But if you know what fields would need to be captured for your form, then it’s just a matter of clicking on the button in the form to add a new field. Choose a field type, then give it a name. Do that for every field and then you’re done! You can immediately start inputting data into the form.