(NEW) Application & Background Check Release Form

Application & Background Check Release Form

For the safety and privacy of your information, TSM uses encrypted forms to protect against identity theft and snooping by other organizations. All of your data is encrypted. Upon approval or denial, your data is deleted forever.
Files you will need before beginning this application:

1. Copy of your Driver's License or State issued ID.
2. Copy of your LTC/CHL (if applicable).
3. Copy of your DD-214 (if applicable).

Clear pictures of each will suffice.

The process is much faster if you upload them on the Upload documents page. If you are unable, email them: tsmbrazoria@protonmail.com at a later time, however your application may be delayed.
Create a free encrypted Proton email account:

1. To create a new Proton email, click here.
2. To download the Proton app on Google Play, click here.
3. To download the Proton app on Apple Store, click here.
Create a free encrypted Signal chat account:

Once you download the app, it will take you through a series of questions and use your phone number to log in to your account in the future.

1. To download the Signal app on Google Play, click here.
2. To download the Signal app on Apple Store, click here.

*All further communication from Texas State Militia will be directed to your ProtonMail account, Signal chat app, through text message, or phone call.
Proton Email Address:*
example@example.com
Retype your Proton Email Address:*
example@example.com
Legal Name*

First NameMiddle NameLast Name
Have you used a different name in the past?*

NoOther Name
Biological Sex*

MaleFemaleI prefer not to say
Date of Birth*

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Primary Phone Number*
Please enter a valid phone number.
Emergency Contact: Name*

First NameLast Name
Emergency Contact: Phone Number*
Please enter a valid phone number.

Upload Documents

All your pictures and data are encrypted as they are entered. Upon approval or denial, they are deleted forever. If you are unable to upload pictures, please email them: tsmbrazoria@protonmail.com
Upload Driver's License

Cancelof
Upload LTC/CHL (if applicable)

Cancelof
*Please note: Current military service members may not apply, per U.S. Code 32 Sec 109*
Are you a Veteran?*

YesNo
Which branch did you serve in?*

Air ForceArmyCoast GuardMarine CorpsNavySpace Force
What was/were your MOS?
Upload DD-214

Cancelof

Your application is almost complete!
Are you a convicted felon, or have you ever been charged with the misdemeanor crime of domestic violence?*

YesNoOther
Are you willing to submit to a background check to verify the information you have stated in this application is true?*

YesNo
I hereby authorize the Texas State Militia to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position to which I am applying. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to the following areas: current and previous residences; employment history; education background; character references; civil and criminal history records from any criminal justice agency in any or all federal, state, country jurisdictions; driving records; birth records; and any other public records.*

I AgreeI Disagree
Please verify that you are human*
Signature*

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Application & Background Check Release Form

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