Enlistment Form

Thank you for your interest in joining the =167= Clan. Please complete the form below to submit your application.

We encourage you to complete the form in its entirety to ensure a prompt response from =167=.

WARNING: IF ANY INFORMATION PROVIDED IN THIS FORM IS FOUND TO BE UNTRUE, YOUR APPLICATION WILL BE DENIED AND YOUR INFORMATION WILL BE ADDED TO AN INTER-CLAN BLACKLIST.

 

Used to determine age and celebrate birthdays.
(City, State / Country)
Used to aid in uniform issuance
Required- Failing to accurately complete this field will result in a denied application or removal from the clan if accepted under false pretenses.
Failing to accurately complete this field will result in a denied application or removal from the clan if accepted under false pretenses.
A very brief explanation as to why you're interested in joining our group.
Used to determine eligibility for Military Service and Public Service Awards.
If you are a current member of another Law Enforcement based clan, you may be ineligible to join =167=.