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Secure Data

Please complete the following information on our secure website to complete the application process.

CONFIRM PERSONAL INFORMATION

First Name

Last Name

Email Address

SOCIAL SECURITY NUMBER

Social Security Number

MILITARY & SEA EXPERIENCE DOCUMENTATION

DD-214 FORM

If you are prior military, please upload your DD-214 form to validate your military discharge.

SEA EXPERIENCE DOCUMENTATION/CERTIFICATIONS

If you have sea experience, please upload USCG Discharge, Company Letter, History of Assignments, and/or Transcript of Sea Services (TOSS) documentation/certifications.

Document Type

For each document you upload, please select the Document Type, upload your file, and then repeat the process for each additional document.

Accepted Formats: PNG, JPG, JPEG, PDF. File Size Limit: 1MB