Create an Account or Sign in Email Password Confirm Password First Name Middle Name (optional) Last Name Nickname Date of Birth Day ----12345678910111213141516171819202122232425262728293031 Month ----JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year ----200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940 Phone Zip Code Social Media Account Link (optional) (Open your personal social media profile such as Facebook and copy/paste web address here..) What skills and/or background do you have that can be an asset to the group? Visual Text Ham License Call Sign (optional) (This is not required but we urge all members to obtain at least a technician level ham license) Do you have a valid Iowa permit to carry weapons? ----NoYes Do you support the Constitution of the United State of America? YesNo Are you a United States Citizen? YesNo Do you wish to overthrow the United States government? YesNo Are you a law abiding citizen? YesNo Are you a convicted felon? (deferred adjudication is a conviction) YesNo Do you have ANY domestic violence convictions? (deferred adjudication is a conviction) YesNo List any Class A or B misdemeanor convictions (optional) (if none write none) Visual Text Are you an unlawful user of, or addicted to, marijuana or any other depressant, stimulant, narcotic drug, or any other controlled substance? YesNo Please Check ALL that apply. (Optional) (optional) I am a military veteranCivil service veteranI have martial arts trainingI have enough firearms to defend myself/familyI am prepped for at least 1 weekI have FEMA certificationsI am bug out/bug in ready Why do you want to join the Iowa Three Percent? Visual Text What do you expect out of being in the Iowa Three Percent? Visual Text How did you hear about the I3P? If you were referred by another member put their name here Do you accept these four self-imposed principals? (Check each discipline that are willing to abide by) Moral StrengthPhysical ReadinessNo First Use of ForceNo Targeting of Innocents Do you solemnly swear (or affirm) that: "I will support and defend the Constitution of the United States against all enemies, foreign and domestic; t YesNo Consent to Background Check (If you select "No" you can not be approved as a vetted member) YesNo I agree to the Terms of Service. Terms of Service By completing and submitting the Iowa Three Percent registration/application form you affirm that you are legally able to do so, you also affirm that you are requesting membership for yourself under personal non-fraudulent reasons. You also affirm that by accepting this you are bound by all current and future bylaws of the Iowa Three Percent under penalty of expulsion. ×
