Starbase Freedom RPG

STARBASE FREEDOM ACADEMY APPLICATION FORM
:: Academy Entrance Form

IF YOUR WISH TO ADD YOUR SHIP AND/OR FLEET TO OUR RPG CLICK HERE

:: Personal Datafile - Basic Information (Character Information)

SURNAME(S)

FIRST NAME(S)

NICKNAME(S) (desired Character name) (NEEDED)

GENDER

SPECIES

AGE

DATE OF BIRTH

PLACE OF BIRTH

EMAIL ADDRESS (NEEDED)

Please indicate a desired training course in which to serve in RPG (i.e. medical, marine, engineering etc .,.)

TRAINING COURSE Preference #1

TRAINING COURSE Preference #2

TRAINING COURSE Preference #3

Please indicate a department of preference in which to serve in RPG (i.e. it could be a ship based simulation or a base etc .,.)

DEPARTMENT Preference #1

DEPARTMENT Preference #2

DEPARTMENT Preference #3

:: Contact info (Fill in all that apply please)

AOL Instant Messenger Screen name

ICQ Number

MSN Messenger Screen name

Yahoo! Messenger Screen name

:: Your experience (Fill in all that apply please)

List all Star Trek simms you have been a member of:

Last highest rank

Position you played (command, engineer, etc)

:: Personal Datafile - Background Information (Character Biography)

PHYSICAL CHARACTERISTICS

PERSONAL CHARACTERISTICS

EARLY HISTORY (PRE-ACADEMY)

FAMILY / SPOUSE / OFFSPRING

INTERESTS & HOBBIES

ADDITIONAL NOTES