United World Chat Moderator Application Form

United World Chat Moderator Application
Chat Username:*
Email Address*
Verify Email Address*
example@example.com
Age*
Date of Birth*

MonthDayYear
Gender*
What room are you applying for? (Please note that just because you choose this room, it does not mean this is the room you are going to mod!)*
What is the role of a chat moderator?*
If you chose other, explain why
Someone is being abusive in the room. What action would you take? Explain*
A user that you trust 100% has told you that someone is being a pervert in PM. What is your action? Explain*
Another mod has messed up. What would you do? Explain*
Tell us a little about yourself...*
Why do you want to become a moderator on this chat? Explain*
Any references (mods the told you to apply)
Have you ever been warned, muted, kicked, or banned?*
If you answered yes to the question above, explain why:
Have you ever been a mod?*
If you answered yes to the question above, explain where you were a mod, how long you were one, and why did you leave your position there?
Should be Empty: