Application for Coastal Migratory Pelagics Advisory Panel (AP)
You are applying for the Gulf of Mexico Fishery Management Council Coastal Migratory Pelagics Advisory Panel (AP). Members will be appointed for a three year term. Applications are due by March 17, 2017 at 5:00 pm EST.

The following questionnaire is designed to help you provide the Council with information on your background in fisheries. This information will be provided to Council members and NOAA/State Law Enforcement only and will be kept in strict confidence.

Please answer all questions unless stated otherwise. Click the SUBMIT button at the end to complete your application.

LAST Name
Please enter your last name only
Your answer
FIRST Name
Please enter your first name only
Your answer
Street Address
Please enter your # Street (example: 123 East Road)
Your answer
Apt. # / Suite # (Optional)
Please enter your Apt. # or Suite #, if applicable
Your answer
City
Your answer
State
Please choose one. If your state is not listed, choose other and provide the two digit state abbreviation)
Required
Zip Code
Enter your 5-digit zip code
Your answer
Telephone (enter as 000-000-0000)
Enter as 000-000-0000 (maximum of 12 characters)
Your answer
E-mail
Your answer
Date of Birth
Please enter your date of birth
MM
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DD
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YYYY
Driver's License or State Issued Identification Number
Please enter your Driver's License or State Issued ID Number (no need to type in dashes or other special characters)
Your answer
State that issued driver's license or state issued identification
Please enter the state that issued your official identification. If the state is not listed, please select OTHER and type in that state's two digit abbreviation.
Required
Please answer. What is your affiliation with the fishery? (choose all that apply)
Required
In the space below, in 500 characters or less, please provide the Council with information on your fisheries background and your financial or other interest in the fishing industries that you feel would assist the Council in making its appointments.
Your answer
Please check one
Required
Explanation (only answer if you've received a violation):
Your answer
By checking the box below, I consent to allow NOAA / State law enforcement to provide a marine fishery violation background check to be provided to the Gulf of Mexico Fishery Management Council.
Required
Signature (Your first and last name MUST match what you've entered above)
By typing your name you affirm that the information provided is accurate to the best of your knowledge.
Your answer
Today's Date
Please type today's date
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