Your name:
Your email address:

 

 

Your character's name:

Your character's gender:

Female
Male
Other/Not applicable

Your character's age (In years):

Your character's date of birth (current year is 2380):

Your character's place of birth:

Your character's species:

Please select one Human Vulcan Klingon Romulan Tellarite Andorian Tholian Deltan Suliban Bajoran Trill Cardassian Breen Betazoid Orion Ferengi Bolian Denobulan Changeling/Founder El-Aurian Gorn Horta Other

If other and/or hybrid, please specify:

Your character's biography (life before USS Incursion):

Your character's education:

Your character's service record (Ex: 2372-2374: USS Sovereign, CMO):

Your character's psychological profile:

Position desired:

Alternate position (if first choice is taken):

Rank desired:

Crewman
Ensign
Lieutenant, Junior Grade
Lieutenant
Lieutenant-Commander
Commander