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Forum Moderator Application
We are accepting applications for Forum Moderators
to Moderate our new Forum Discussion Center
(Coming November 1st 2002)

Name:  (Your Full name, Required)
E-mail:  (Your E-mail address, Required)
Web Site:  (If Applicable)
Phone:  (Optional)
Desirable Username:  (Used to log-in the Moderator control panel)
Desirable Password:  (Used to log-in the Moderator control panel)
Desirable Hours:  (Best times your online to monitor activity)
Desirable Days:  (Best days your online to monitor activity)
Certification:  MECP MEA EIA Other(If Other, please explain below)
Experience:  YesNoSomewhat(Have you ever moderated Before?)
Experience Notes  
and Comments: 

We will review your application as soon as possible
with a response to your request and availability.

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