{"id":191,"date":"2023-09-07T18:14:17","date_gmt":"2023-09-07T18:14:17","guid":{"rendered":"https:\/\/praxis.shawnyoung.com\/web\/flintlock\/wordpress\/?page_id=191"},"modified":"2026-07-17T13:42:58","modified_gmt":"2026-07-17T13:42:58","slug":"captain-application","status":"publish","type":"page","link":"https:\/\/praxis.shawnyoung.com\/web\/flintlock\/wordpress\/captain-application\/","title":{"rendered":"Captain Application"},"content":{"rendered":"\n<div id=\"cover\" class=\"wp-block-uagb-container uagb-block-95c09181 alignfull uagb-is-root-container\">\n<h1 class=\"wp-block-heading has-text-align-center has-ast-global-color-5-color has-text-color\">Captain Application<\/h1>\n<\/div>\n\n\n\n<div id=\"intro\" class=\"wp-block-uagb-container uagb-block-587e4f0d alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-image aligncenter uagb-block-44b9d3cb wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/praxis.shawnyoung.com\/web\/flintlock\/wordpress\/wp-content\/uploads\/2023\/08\/flintlock-marine-group-logo-1a-adadad.jpg\" alt=\"flintlock pistol marlinspike mariner knot\" class=\"uag-image-33\" width=\"160\" height=\"91\" title=\"Flintlock Marine Group logo\" loading=\"lazy\" role=\"img\" \/><\/figure><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Join Our Network<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This application form will take roughly 20 minutes to complete. You may save your progress and resume at a later time, but we recommend that you complete it in one sitting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please ensure you have the following documents\/information ready for upload before getting under way:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Merchant Mariner Credential (MMC) information<\/li>\n\n\n\n<li>Maritime Consortium Card (if applicable)<\/li>\n\n\n\n<li>Two (2) references, including contact information<\/li>\n\n\n\n<li>Captain\u2019s Resume<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">We recommend reading through the application in its entirety and having your files ready for upload before getting under way.<\/p>\n<\/div><\/div>\n\n\n\n<div id=\"form\" class=\"wp-block-uagb-container uagb-block-ab75fe7a default uagb-is-root-container\">\n<h3 class=\"wp-block-heading has-text-align-center\">Captain Application Form<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Please complete all fields specified. We&#8217;ll send you a confirmation email and next steps once your application is received.<\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-form-abandonment wpforms-container-save-resume wpforms-block wpforms-block-cc98d0cd-7994-4f96-a059-052b5414750e\" id=\"wpforms-176\"><form id=\"wpforms-form-176\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"176\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/web\/flintlock\/wordpress\/wp-json\/wp\/v2\/pages\/191?wpforms_form_id=176\" data-token=\"36c5d3a1120fc70b0d8fbfaa73176027\" data-token-time=\"1793815182\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-176-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_46\">Captain First and Last Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-176-field_46\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][46]\" required><\/div><div id=\"wpforms-176-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_3\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-176-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-176-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_4\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-176-field_4\" class=\"wpforms-field-small wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][4]\" aria-label=\"Phone\" required><\/div><div id=\"wpforms-176-field_47-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_47\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-176-field_47\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][47]\" required><\/textarea><\/div>\t\t<div id=\"wpforms-176-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-176-field_1\" >interest Clearance? Tonnage?<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-176-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-176-field_6-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_6\">Are you a US Citizen? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_6\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][6]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Yes or No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-176-field_40-container\" class=\"wpforms-field wpforms-field-html fmg-form-popup wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"html\" data-field-id=\"40\" style=\"display:none;\"><div id=\"wpforms-176-field_40\"><div class=\"fmg-form-popup\">\r\n<p><em>We apologize as, due to the nature of our business, we are only accepting applications at this time from US Citizens. If you have any questions, please feel free to contact us.<\/em><\/p>\r\n<\/div><\/div><\/div><div id=\"wpforms-176-field_25-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"number\" data-field-id=\"25\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_25\">Please enter your USCG Reference Number below. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-176-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" step=\"any\" required><div class=\"wpforms-field-description\">Please do not include any dashes or spaces.<\/div><\/div><div id=\"wpforms-176-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"8\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_8\">Do you have a valid Merchant Mariner Credential (MMC)? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_8\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Yes or No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-176-field_9-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"9\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_9\">What is your Merchant Mariner Credential (MMC) Expiration Date? <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-176-field_9\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][9][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-176-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_10\">What is your Merchant Mariner Credential (MMC) Tonnage? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_10\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Please Select<\/option><option value=\"USCG OUPV\/Six-pack\"  class=\"choice-1 depth-1\"  >USCG OUPV\/Six-pack<\/option><option value=\"25 Ton\"  class=\"choice-2 depth-1\"  >25 Ton<\/option><option value=\"50 Ton\"  class=\"choice-3 depth-1\"  >50 Ton<\/option><option value=\"100 Ton\"  class=\"choice-4 depth-1\"  >100 Ton<\/option><option value=\"200 Ton &amp; Above\"  class=\"choice-5 depth-1\"  >200 Ton &amp; Above<\/option><\/select><\/div><div id=\"wpforms-176-field_11-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"textarea\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_11\">Please list your Merchant Mariner Credential (MMC) Endorsements. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-176-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" placeholder=\"Assistance Towing, Ordinary Seaman, Wiper, Steward&#039;s Department\" required><\/textarea><\/div><div id=\"wpforms-176-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_13\">Do you have any Judgments or Investigations? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_13\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][13]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Yes or No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-176-field_36-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"textarea\" data-field-id=\"36\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_36\">Please explain your Judgments or Investigations below. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-176-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><\/textarea><\/div><div id=\"wpforms-176-field_14-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"14\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_14\">Have you ever held a Security Clearance? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_14\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][14]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Yes or No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-176-field_32-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"32\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_32\">Is your security clearance currently active? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_32\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][32]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Yes or No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-176-field_39-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"39\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_39\">What was your level of Security Clearance? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_39\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][39]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Please Select<\/option><option value=\"Confidential\"  class=\"choice-1 depth-1\"  >Confidential<\/option><option value=\"Secret\"  class=\"choice-2 depth-1\"  >Secret<\/option><option value=\"Top Secret\"  class=\"choice-3 depth-1\"  >Top Secret<\/option><option value=\"SCI\"  class=\"choice-4 depth-1\"  >SCI<\/option><\/select><\/div><div id=\"wpforms-176-field_16-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"16\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_16\">What is your level of Security Clearance? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_16\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][16]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Please Select<\/option><option value=\"Confidential\"  class=\"choice-1 depth-1\"  >Confidential<\/option><option value=\"Secret\"  class=\"choice-2 depth-1\"  >Secret<\/option><option value=\"Top Secret\"  class=\"choice-3 depth-1\"  >Top Secret<\/option><option value=\"SCI\"  class=\"choice-4 depth-1\"  >SCI<\/option><\/select><\/div><div id=\"wpforms-176-field_18-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_18\">Please list your Security Clearance Sponsor.<\/label><input type=\"text\" id=\"wpforms-176-field_18\" class=\"wpforms-field-large\" name=\"wpforms[fields][18]\" ><div class=\"wpforms-field-description\">If unknown, please leave the field blank.<\/div><\/div><div id=\"wpforms-176-field_19-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"19\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_19\">Are you a member of the Maritime Consortium? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-176-field_19\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"\" name=\"wpforms[fields][19]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Yes or No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-176-field_20-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"20\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_20\">Please Upload a copy of your Maritime Consortium Card. <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"20\"\n\t\tdata-form-id=\"176\"\n\t\tdata-input-name=\"wpforms_176_20\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,json\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-176-field_20\"\n\t\tname=\"wpforms_176_20\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-176-field_21-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"textarea\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_21\">1. Please list a reference that can speak to your Captain experience and character. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-176-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" placeholder=\"Bob Jones, First Mate, bjones@gmail.com, xxx-xxx-xxxx\" required><\/textarea><div class=\"wpforms-field-description\">Include Reference: First, Last Name, Relation, E-mail &amp; Phone Number<\/div><\/div><div id=\"wpforms-176-field_22-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"textarea\" data-field-id=\"22\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_22\">2. Please list a reference that can speak to your Captain experience and character. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-176-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" placeholder=\"Jane Miller, Stewardess, jane@gmail.com, xxx-xxx-xxxx\" required><\/textarea><div class=\"wpforms-field-description\">Include Reference: First, Last Name, Relation, E-mail &amp; Phone Number<\/div><\/div><div id=\"wpforms-176-field_12-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_12\">Please Upload a copy of your Merchant Mariner Credential (Front &amp; Back) <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"12\"\n\t\tdata-form-id=\"176\"\n\t\tdata-input-name=\"wpforms_176_12\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,json\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"2\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 2 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-176-field_12\"\n\t\tname=\"wpforms_176_12\" required\t\tvalue=\"\">\n<div class=\"wpforms-field-description\">Please upload a copy of the front and back of your MMC<\/div><\/div><div id=\"wpforms-176-field_35-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"35\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_35\">Please Upload a copy of your Tonnage Qualification. <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"35\"\n\t\tdata-form-id=\"176\"\n\t\tdata-input-name=\"wpforms_176_35\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,json\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-176-field_35\"\n\t\tname=\"wpforms_176_35\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-176-field_23-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-176-field_23\">Please Upload a copy of your current Captain&#039;s Resume. <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"23\"\n\t\tdata-form-id=\"176\"\n\t\tdata-input-name=\"wpforms_176_23\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,json\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-176-field_23\"\n\t\tname=\"wpforms_176_23\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-176-field_42-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"42\"><div id=\"wpforms-176-field_42\"><div style=\"margin: 30px 0;\"><hr \/><\/div><\/div><\/div><div id=\"wpforms-176-field_27-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-type=\"gdpr-checkbox\" data-field-id=\"27\"><label class=\"wpforms-field-label wpforms-label-hide\">Notice and consent \/ legitimate interest (GDPR) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-176-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-176-field_27_1\" name=\"wpforms[fields][27][]\" value=\"I agree to receive other communications from Flintlock Marine Group .\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-176-field_27_1\">I agree to receive other communications from Flintlock Marine Group . <span class=\"wpforms-required-label\">*<\/span><\/label><\/li><\/ul><div class=\"wpforms-field-description\">Flintlock Marine Group is committed to protecting and respecting your privacy, and we\u2019ll only use your personal information to administer your account and to provide the products and services you requested from us. 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Flintlock Marine disclaims any and all warranties express or implied as to the information contained on its website.\nYou do not appear on an excluded parties list and are not currently subject to any suspension or debarment procedures.  You are now and at all times while registered on this site otherwise eligible for the award of a U.S. Government Contract (\u201cGovernment Contract\u201d).\nRegistration on this site may result in work under one or more Government Contracts.  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