Vetting Form | 9SPA

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9th State Patriot Alliance

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9SPA APPLICATION FORM

Please note, membership to this organization will depend upon your answers below. Please complete in full. Applicants who fail to fully complete will not be considered for membership.

Full Legal Name

First Name

Middle Name

Last Name

Today's Date

Email

Phone Number

Birthdate

(if no, you will be removed from consideration)

Do you consent to a criminal background check? *

Yes

No

Please outline below, what skills and/or background you posses that can be an asset to the group?

How did you hear about the 9th State Patriot Alliance?

Can you furnish a reference who will vouch for your character?

Reference Phone Number

Do you support the Constitution of the United States? *

Yes

No

Are you a law-abiding citizen? *

Yes

No

Have you ever been convicated of a felony *

Yes

No

Have you EVER been convicted of a domestic assault? *

Yes

No

List any Class A or B misdemeanors you have been convicted of, if none, write "none."

Do you solemnly swear that: “I will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same;”

Your content has been submitted

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