USS Independence
Crew Member Application

Please note:  In order to keep this Star Trek PBeM-RPG enjoyable to all who participate, no "Q's," enemies of the Federation, or any "god" characters will be allowed in this sim.  Also characters cannot have the same names as character from the Star Trek shows, and cannot be related to any character from the television shows or motion pictures.

After your application is processed, you may be required to submit a sample post so that the Independence's command staff may analyze your writing and role-playing ability before you are approved to join the Independence is granted.

Name (required)
Age (You must be at least 16 to participate)
Sex: MaleFemale
Country of Residence
State/Province of Residence
City of Residence
ICQ#
AOL Instant Messanger
Screen Name

E-mail (required)
URL

 
First Name
Last Name
Middle Initial
Year of birth Keep in mind that the current year is 2376
Sex Male Female Both Neither
Height (Please specify units)
Weight (Please specify units)
Species
Hair Color
Eye Color
Have you ever been involved with a Star Trek SIM in the past? YES NO

If yes, are you willing to provide contact information for these SIMs? YES NO

  Other games that are a part of the Deep Space Ten Organization may be searching for additional crewmembers. Check this box if you wish to be contacted regarding opportunities within any of these other games.