Academy Application

*E-mail Address:

*Confirm E-mail:

First Name (Optional):

Sex: Choose One Male Female

*Age: Choose One Under 12 12-14 15-17 18-20 21-25 26-30 31-40 41-50 Over 50

*Do you have any previous Star Trek Role Play By Email experience? Choose One Yes No

What sim are you thinking of joining? Choose One ANY Starbase 10 USS Excalibur USS George W. Bush USS Goliad USS Horatio Nelson USS Liberty USS Minerva USS Patriot USS Washington

What position/job do you plan on trying? Choose One Astrometrics Communications Computers Counseling Engineering Helm Intelligence Medical Navigation Operations Piloting Science Security Tactical Weapons Other

2nd Choice: Choose One Astrometrics Communications Computers Counseling Engineering Helm Intelligence Medical Navigation Operations Piloting Science Security Tactical Weapons Other

3rd Choice: Choose One Astrometrics Communications Computers Counseling Engineering Helm Intelligence Medical Navigation Operations Piloting Science Security Tactical Weapons Other

*Which Class will you be attending? Choose One New Recruit XO Classes CO Classes DD Classes Other

*I agree to uphold and abide by the rules and regulations of Independence Fleet: Choose One Yes No