Online Application Please enable JavaScript in your browser to complete this form.Name *FirstLastStreet Address *City *State *Zip Code *Phone Number *Include area code.Can you recieve text messages? *YesNoDate of Birth *Email *EmailConfirm EmailWebsite (if any)Are you a member of the USS Ticonderoga Facebook Page? *YesNoI do not use FacebookWhich of the following interest you the most? (check all that apply) *Classic Star Trek (66-69)Animated Star Trek (73-74)Star Trek Movies (79-??)The Next Generation (87-94)Deep Space Nine (93-99)Voyager (95-01)Enterprise (01-05)Discovery (17-??)Picard (20-??)Lower Decks (20-??)Prodigy (21-??)Strange New Worlds (22-??)Star Trek ConventionsGaming (Roleplaying, CCG)Gaming (Computer, Console, etc.)Books & MagazinesTriviaComicsModels/Action FiguresCosplay/Make-upPropsWhat is your favorite episode or movie? *Enter the name of your favorite Star Trek movie or episode from any series.Who is your favorite Star Trek character? *Enter the name of your favorite character from any Star Trek series.Other interestsList any other shows or fandoms that you like or participate in.What type of Star Trek merchandise do you prefer? *(Books, manuals, blueprints, props, uniforms, toys, videos, cards, etc.)Which Department do you wish to join? *Communications (Newsletter)Conn/Flight Control (Newsletter Exchange)Engineering (Club Merchandizing)Medical (Crew Anniversaries & Event Archives)Operations (Computer Ops)Science (Ship Archives)Security (Photo Archives)Tactical (Star Trek Gaming)Civilian (No rank requirements)A Department Chief is your primary point of contact within the club. Each department has primary functions within the club. You may select your top choices and make a final decision before you receive your orders.Do you have any talents or abilities you would like to share with the group? *Are you willing to accept assignments, study, and work to make our fan club a success? *YesNoAre you willing to abide by the USS Ticonderoga Code of Conduct? *YesNoThe Code of Conduct can be found here. https://www.ussticonderoga.org/crew/code-of-coduct/Who introduced you to the USS Ticonderoga Star Trek Fan Club? *The name of this person may earn leadership promotional merit points.What was the date of your first USS Ticonderoga meeting that you attended? *If you have not attended one yet, enter “none”.What was the date of your second USS Ticonderoga meeting that you attended? *If you have not attended one yet, enter “none”.Date of your introduction to the USS Ticonderoga commanding officer. *If you have not met the CO yet, enter “none”.Date of your introduction to the USS Ticonderoga executive officer. *If you have not met the XO yet, enter “none”.How did you hear about the USS Ticonderoga? *Membership in the USS Ticonderoga requires a commitment to having fun with fellow Star Trek fans. A commitment to uphold the traditions of Starfleet Command's Seventh Fleet and the positive Star Trek philosophy, and keeping the spirit of Star Trek alive and growing by sharing and experiencing it with others! *Enter your name to sign this document.Submit
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