The information herein submitted is confidential and will be used for the purpose of screening and or vetting applicant’s qualifications for participation in the Spartan Training Groups or Sentinel Teams. 1 Personal Information2 Professional Background3 Specialized Training4 Sign & Affirm Legal Name & Date of BirthFirst Name*Middle NameLast Name*Alias(es)Date of Birth* AddressStreet AddressCity*County*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip CodeContact InformationEmail* Home PhoneCell PhoneWork PhoneFacebookTwitterLinkedIn Professional BackgroundMilitary Service*NoneActive DutyVeteranBranch of Service*Years of Service*M.O.S.*Rank*Qualified Law Enforcement*NoActiveRetiredAgency*Years of Service*Assignment*HR218 Qualified*NoYesFirst Responder*NoYesCurrently Active*NoYesService Type Fire Medical Other Please Specify* Specialized TrainingPlease specify any specialized training you have received.Security/Tactical Training Light infantry tactics Handgun proficiency Shotgun proficiency Rifle proficiency Long-range marksmanship Tracking Land navigation Reconnaissance Wilderness survival/bushcraft Camouflage Small unit tactics Patrol leadership Engineer/Supply Training General construction Heavy equipment operator Lodging Food production/storage Water purification/storage Energy production Logistics Transportation Vehicle maintenance Medical Training Doctor Nurse Paramedic/EMT Combat medic Grid-down medicine Wilderness medicine Intelligence Training Civil affairs Current events Political activity Information gathering Information analysis Mass communications Social media Communications Training HAM radio GMRS FRS CB radio Morse code If you have received any training you believe to be relevant, please let us knowSupporting Documentation Answer the FollowingHave you ever been convicted of a felony?*YesNoHave you ever been discharged from a civil service position?*YesNoHave you every participated in any white nationalist movement?*YesNoHave you been otherwise than Honorably discharged from the military?*YesNoI am applying for the following: Local Spartan Training Group Sentinel Teams On my honor, the aforesaid information is given from the best of my recollection and memory. I understand that any false statement made herein may exclude me from participating in this or any other Oath Keepers activities.Respectfully Submitted*Entering your name constitutes a legally binding signature.CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.