5th Brigade  Request for Application Form

Follow the directions below.
For a more secure transmission, contact 5BDE 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:
Boone
Hamilton
Hancock
Hendricks
Madison
Marion
Morgan
Yes
No
Yes
No
Information only!
Mild curiosity
Medium interest
Strongly interested
I WANT TO JOIN NOW!!