Membership Information Survey

The Ohio Assembly

Issuing Authority for American State Nationals on Ohio to “Correct Your Status”

PLEASE NOTE: When you join as an Ohio Assembly Member, you become part of The Ohio Assembly Land and Soil Jurisdiction governing body for all American State Nationals on Ohio. This will require two membership documents to be signed in addition to your Status Correction documents.

Are you joining as a member of The Ohio Assembly?*
No Yes



Professional License(s):
Do you have a professional license?*
No Yes

If yes, what license? (max 100 characters)


Do you have an LLC, S or C Corp, 501C3?*
No Yes

If yes, what is the LLC, S-Corp, or 501C3? (max 100 characters)




Willing: (FOR MEMBERS ONLY)

Sheriff’s	Court Venue	Vetting	Records	General Education
International Education	Coroner’s Office	Law Education	General Elections	Banking/Treasury
New Member Provisions	Litigation	Jury Pool	Office of Marshal at Arms	Oversight
Orientation	Militia Education	Land Patent	Court Oversight	IT Infrastructure
Ombudsman	Events	Militia Operation

Individual Interest or Abilities: (FOR MEMBERS ONLY)

Accounting	Dentistry	Medical	Research	Armory
Education	Nutrition/Dietary	Sewing	Bookkeeping	Electrician
Organizing	Teaching	Carpentry	Electronics Repair	Plumbing
Transportation	Childcare	Farming	Public Relations	Woodworking
Computer Programming	IT	Radio Communications	Construction	Janitorial
Ranching	Cooking	Marketing	Recordkeeping	Other – Please List:

If other, please specify (max 100 characters)

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