Mars Mission Application Form
Apply to join the Mars mission team. Please complete all fields below to submit your application.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Residence
*
Please Select
United States
Canada
United Kingdom
Australia
India
Germany
France
Japan
Brazil
Other
Age
*
Highest Level of Education
*
Please Select
High School Diploma
Bachelor's Degree
Master's Degree
Doctorate (PhD/MD)
Other
Relevant Experience (e.g., space, engineering, science, aviation)
*
Motivation: Why do you want to join the Mars mission?
*
Physical Fitness Level
*
Excellent
Good
Average
Prefer not to say
Technical Skills (select all that apply)
*
Engineering
Piloting
Medical/First Aid
Robotics
Survival Training
Computer Science
Other
Availability for Training (select your earliest possible start date)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
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