Super Earth Form C-01
Please Fill Out the Form Below to Submit to your Democracy Officer for Review
Name of Participant 1
*
First Name
Last Name
Name of Participant 2
*
First Name
Last Name
Name of Participant 3
*
First Name
Last Name
LIBERTY Monitored Email
*
example@example.SE
Location Code
*
Planet - Continent - Region| ex: 001-002-1234
Applied Position(s)
Earliest possible date the act will occur.
*
-
Month
-
Day
Year
Date
Fill in any FREEDOM bubble if they apply to you.
Employed
Patriotism score above 325
Served in SEAF or obtained higher education
Already have one child or more
Have never been convicted of physical and or thought FREEDOM violations
Obtained a Liberty Parenting Certificate
Have been medically cleared by a SE certified Doctor
Patriot References
Please provide at least two references. Note your partner(s) may not be a reference. Unless they are a SE8 or above in the Super Earth government.
Upload Liberty Parenting Certificate and other supporting documents
*
Upload a File
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