ENLISTMENT APPLICATION
Website
First Name:
Last Name:
Email:
Phone:
Address Line 1:
Address Line 2:
City:
State/Region:
Postal or Zip code:
Country:
Date of Birth:
Emergency Contact:
Create your Password:
At least 8 characters
One uppercase letter
One lowercase letter
One number
One special character
Passwords must match
Verify Password:
Are you a STARFLEET International Member? (
www.sfi.org
)
No
Yes
Select Shipboard Department:
Unsure at this time
Engineering
MACO
Medical
Operations
Science
Security
Preferred Communication:
Email
Phone
SMS
Video Call
Chat App
Discord
Social Media DM
Carrier Pigeons (Obsolete)
Smoke Signals (Obsolete)
Morse Code (Obsolete)
Telegram (Obsolete)
Fax (Obsolete)
Pony Express (Obsolete)
Semaphore Flags (Obsolete)
Signal Mirror (Obsolete)
Tin Can Telephone (Obsolete)
Snail Mail (Obsolete)
Drum Signals (Obsolete)
Social Media Profiles (optional):
How did you hear about us?
Select
Oz Comic Con
Supanova
Collector Con
GammaCon
Starfleet Website
Typhon Crewmember
Friend
Social Media
Search Engine
Other
Please specify:
Medical Information (optional):
Confidential:
shared only with Command Staff (CO, XO, SO), your Department Chief, and the Chief Medical Officer to assist in medical emergencies.
Submit Enlistment Application
