Application to TSC

PERSONAL APPLICATION

This questionare is only seen by the TSC Leadership and is used to determine elgibility.

Name:	City:	State:


Phone #:	E-mail Address:	Your Date of Birth:


Social Security #:	Aim Screen Name:	ICQ Screen #:

The SSN is used for identity verification only.
If you do not want to place your SSN on this form then type "contact" in the space provided and you will be contacted.

Marital Status:

Children Under 18?: Yes No

Military Service?: YesNo

Military Branch:

Military MOS:

Any Survival Training: (Please Explain)

Associated with any other survival/preparedness groups: (If so, list)

Do you understand the Tri-States Philosophy?

Do you believe in the Tri-States Manifesto?

Is there anything else that you feel we should know about you?(Interests, training, etc...)

How did you hear about the TSC?:

What are you looking for from TSC and what do you believe you can offer TSC.

If there is a problem submitting this form then please cut and past the information into an email and send to tristatescoalition@yahoo.com

If you do not receive an email receipt within a couple of days please email again asking for information about your application. We are sorry for this inconvenience.