Application – North Carolina State Defense Force

If you are applying for a listed opportunity or role – please provide that job number here. Otherwise, leave this field blank.

The job number or job code can be found in the title of the opportunity you are applying for or listed in the details. If you’re submitting this application for general consideration – leave this field blank.

1. Applicant name

First

Middle

Last

2a. Please select your preferred method of communications about your application.

Email
Phone
No Preference

2b. Your preferred email

Email

Confirm Email

2c. Your preferred telephone number (Numbers ONLY)

Provide the number with area code first. No dashes. Numbers only.

Have 'No' Constitution?

2d. Your secondary telephone number (Numbers ONLY)

Provide the number with area code first. No characters other than the numbers.

3. Date of Birth

Provide the date of birth as a two-digit month, two-digit day, and four-digit year.

4. What is your current age in years?

(Numbers only.)

5a. County of residence

5b. Mailing address

6. North Carolina Drivers License or State ID Number

If your ID is issued by another state – put ‘OTHER’ to complete this question.

7. Have you ever worked or volunteered as any of the following?

8. Please provide an overview for items selected for question 7

Use one line to provide overview for each item selected. Include approximate years of experience for each selection for question 7.

9. Are you willing to swear or affirm an oath to the U.S. Constitution?

10. Are you willing to swear or affirm an oath to the N.C. Constitution?

11. Do you support local, state, and federal law enforcement?

12. Do you advocate for the Rights provided by the Second Amendment of the U.S. Constitution?

13. Do you have any disability that you wish to disclose and would likely request accommodation for in the future?

14. If you answered 'Yes' to question 13 – please provide details here.

15. Do you have the ability to vote in all local, state, and federal elections?

16. If you answered 'No' to question 15 – please provide details here.

17. Do you agree to fully comply with our background investigations team after you submit your application?

18. Read and confirm prior to submitting the application

I hereby attest that the information I have provided within this application is truthful and concise to the best of my knowledge.

Membership Application