On-line Application
Please fill out the necessary information - Thank you
First Name Last Name Middle Initial Date of Birth Sex Male Female
Please provide the following contact information:
Street Address Address (cont.) City State/Province Zip/Postal Code Country Home Phone FAX E-mail
Please supply us with two names and email addresses to be used for reference purposes. (The application will not be processed without this information.)
How do you connect to the internet?
Broadband Dial-Up
What is the name you would like to use as your working InnerVisions name?
What position(s) are you applying to the Circle of InnerVisions Forum for?
Reader Healer Host Instructor Message Board Host Dream Interpreter Other
If answered Yes to "Healer", please describe your healing gifts.
If you answered Yes to "Other", please describe what is meant by other.
When would you be available to volunteer for the Circle of InnerVisions Forum?
8am thru 4pm 4pm thru 8pm 8pm thru Midnight Weekdays Weekends
Have you ever worked for another on-line Forum before?
Yes No If "yes" what Forum?
Yes No
If "yes" what Forum?
If "Yes" to working previously for another Forum, please give date started.
-- mm/dd/yy
Date left other on-line Forum
What do you feel you can contribute to the Circle of InnerVisions Forum?
I authorize that to be my (electronic) "signature", I attest that all of the information I have supplied is true and accurate. If it is discovered that I have submitted false information on this application, I realize that my application may be rejected and/or that I may be dismissed from my position with the Circle of InnerVisions inc. Forum with cause. Please copy entire application and send to: INVSMgr@aol.com
I authorize that to be my (electronic) "signature", I attest that all of the information I have supplied is true and accurate. If it is discovered that I have submitted false information on this application, I realize that my application may be rejected and/or that I may be dismissed from my position with the Circle of InnerVisions inc. Forum with cause.
Please copy entire application and send to: INVSMgr@aol.com