| New Member Application Form MFS John W. Comish (Maquis Forces International) (This may be copied, pasted,and emailed to rmacthomas@aol.com, or mailed directly to the CO as follows: MFS John W. Comish 1918 East Fourth Street Second Floor Erie, PA, 16511-1066 Note: ALL fields are required to be filled out unless otherwise noted. Failure to do so will void the application. Your REAL Name (Required) First Name:_____________________ Last Name: _____________________ Your POP-3 E-mail Address (Required): No free Email Addresses (Hotmail, Yahoo, etc) allowed for this field. If you don't have your own Internet Service Provider (ISP) or School Account POP-3 Email Address, you will need to obtain a sponsor. Email:_______________________________ Check one: I need a sponsor Yes___ No___ Sponsor's Name(if checked "no" above):_________________________ Your Address :_______________________________ _______________________________ City:______________ State/Province:____________ ZIP/Postal Code:_________ Country:________________ Telephone:__________________ Date of Birth:___________ CHECK YOUR PREFERENCES Commissioned Officer ___ Non-Commissioned Officer (Enlisted)___ Department: Command:___ Operations:___ Medical:___ Engineering:___ Sciences:___ Security:___ Logistics:___ Branch: Navy ___ Maquis Forces Marine Corps ___ Special: Special Security Division ____ Special Operations Command____ Klingon Task Force ____ (Note, as this is primarily a SSD chapter, SSD is recommended. However, if you choose not to be Special Security, you will report directly to the designated liaison on board.) Starting Rank :(to be filled in by CO) Starting rank for all new members will be at the lowest rank possible (Ensign/2nd lt for Commissioned Officers, and Crewman Recruit/Private for NCO ranks) unless other proof of rank from other Star Trek Club can be provided, in which case, no rank above Commander/Lt Colonel will be granted. (NCO ranks will be handled differently in this case, and will be determined by the CO.) |