1st Brigade  Request for Application Form

Follow the directions below.
For a more secure transmission, contact 1BDE directly by visiting the "Contact IMC" Page.

The following information will go to the Adjutant of the Corps when you click the 'submit' button.
Choose the county that you live in.
Indiana Militia Corps - Online Registration
Enter your name, email address, and other relevant information on the lines below:All items are required. Replace sample text with your info.
Proper name:
e-Mail address, if any:
Age:
Previous military?
List any other skills or talents that you believe you can offer:
Your Phone #:
Mailing address:
Do you have a valid and current Indiana handgun carry permit? (required)
If you don't live in the shaded area, click here to go back to the previous page.
Best time to call you (i.e. "5pm-8pm") :
What is your level of interest in the militia?
Pager, if any:
Benton
Carroll
Cass
Clinton
Fountain
Fulton
Jasper
Lake
Laporte
Marshall
Montgomery
Newton
Porter
Pulaski
St. Joseph
Starke
Tippecanoe
Warren
White
Vermillion
Yes
No
Yes
No
Information only!
Mild curiosity
Medium interest
Strongly interested
I WANT TO JOIN NOW!!