Badge Applications

2. Once you hit the submit button at the bottom of the form you will be taken to the appointment page. Please follow and setup your appointment to ensure that we have time to accept app, take photo, and check ID's when you arrive.
4. Name*
6. Email Address*
8. Phone Number*
10. What type of badge are you applying for?*
    -- Select One --AOACARGOSIDA
12. Employer*
    -- Select One --AvflightCity of MinotCity of Minot Fire DepartmentCity of Minot Police DepartmentEcolabExecutive Air TaxiFAAFedexGA PilotMain ElectricMinot Aero CenterMowbray & SonOtherPioneer AgviationTrego Dugan AviationTrinity HealthTSAUnifiUPS
14. Required Identification

    In order to start the badging process two forms of identification are required. One must be a government issued photo ID and the second is a document that authorizes employment. This is based off of I9 standards. 

    You must select a form of ID from each box that you will bring the day of your appointment. Applications will not be accepted without acceptable forms of identification.

    If born in the United States, please select one item from the government issued photo ID list and one from Document to Establish Employment list. If born outside of the United States please select one item from the government issued photo ID list and one from the Documents for applicants born outside of US. 

16. Government Issued Photo ID*
    -- Select One --Driver's LicenseID Card issued by state PassportMilitary IDU.S. Coast Guard Merchant Mariner CardNative American Tribal documentDriver's license issued by a Canadian government authority
18. Document to Establish Employment*
    -- Select One --Social Security CardBirth CertificateNative American Tribal documentU.S. Citizen ID Card (Form I-197)Identification card for use of resident citizen in the Unites States (Form I-179)Employment authorization document issued by the Department of Homeland SecurityPassport (if not selected in photo ID options)Not Applicable - Born Outside of United States
20. Documents for applicants born outside of United States*
    -- Select One --Permanent Resident Card or Alien Registration CarForeign Passport Certificate of NaturalizationDS1350I-94 DocumentVisaNot Applicable - Born in the United States
22. Has your application been filled out?*

    1. Yes
    2. No
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23. Submit

* indicates a required field