1ST AVENUE CHATS MODERATORS APPLICATION FORM

1ST AVENUE CHATS MODERATORS APPLICATION FORM

PLEASE MAKE SURE TO FILL IN ALL AREAS
Your First Name:*
Your User Name:*
Your Email Address:*
example@example.com
Your Country:*
Your Gender:*
Your Age:*
Your Birth Date:*

MonthDayYear
Have You Ever been A Moderator For Another Chat:*
If The Above Answer Was Yes, What Chat, If The Answer Is No Just Put No:*
Have You Ever Been Banned From Our Chats Or Any Other In The Past:*
Any References? ( Moderators That Asked You To Apply ) If Yes Please Give There Name Or Names On The Next Question Below:*
If You have Answered Yes Above, Please Give Name Of reference, If None Just Type None:*
Disclaimer

I hereby certify that the information provided on this application and all information provided throughout the employment process is accurate, complete and true. I understand that failure to provide information which is accurate, complete and true may result in disqualification from further employment consideration or, if employed, may result in my dismissal.

All New Moderators Will be Given A Two Week Trial Basis
Your Signature:

CODE OF CONDUCT CONTRACT FORM