Please, when filling out this application, provide the URL to the boards you list. <form method="post" action="http://www.emailmeform.com/fid.php?formid=37886" enctype="multipart/form-data" accept-charset="UTF-8">
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<font face="Verdana" size="2" color="#000000">The Bulletin Board Forum Moderator Application</font>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Your Screen Name</font></td>
 <td><input type="text" name="FieldData0" size="30"> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Your First Name (Optional)</font></td>
 <td><input type="text" name="FieldData1" size="30"> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Age</font></td>
 <td><input type="text" name="FieldData2" size="30"> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Sex</font></td>
 <td><input type=radio name="FieldData3" value="Male" id="radio30"><font face="Verdana" size="2" color="#000000"><label for="radio30">Male</label></font><br><input type=radio name="FieldData3" value="Female" id="radio31"><font face="Verdana" size="2" color="#000000"><label for="radio31">Female</label></font><br> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Location (Please name country)</font></td>
 <td><input type="text" name="FieldData4" size="30"> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">How many years have you been an Admin or Moderator?</font></td>
 <td><input type=radio name="FieldData5" value="Less than 1 Month" id="radio50"><font face="Verdana" size="2" color="#000000"><label for="radio50">Less than 1 Month</label></font><br><input type=radio name="FieldData5" value="Less than 6 Months" id="radio51"><font face="Verdana" size="2" color="#000000"><label for="radio51">Less than 6 Months</label></font><br><input type=radio name="FieldData5" value="1 Year or Less" id="radio52"><font face="Verdana" size="2" color="#000000"><label for="radio52">1 Year or Less</label></font><br><input type=radio name="FieldData5" value="1 to 5 Years" id="radio53"><font face="Verdana" size="2" color="#000000"><label for="radio53">1 to 5 Years</label></font><br><input type=radio name="FieldData5" value="Longer than 5 years" id="radio54"><font face="Verdana" size="2" color="#000000"><label for="radio54">Longer than 5 years</label></font><br> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Name the Boards which you Moderate or Own?</font></td>
 <td><textarea name="FieldData6" cols="60" rows="10"></textarea><br> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Which Forums do you wish to moderate?</font></td>
 <td><textarea name="FieldData7" cols="60" rows="10"></textarea><br> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">How often can you be on your forum(s)?</font></td>
 <td><input type=radio name="FieldData8" value="Several times a day" id="radio80"><font face="Verdana" size="2" color="#000000"><label for="radio80">Several times a day</label></font><br><input type=radio name="FieldData8" value="Every Day" id="radio81"><font face="Verdana" size="2" color="#000000"><label for="radio81">Every Day</label></font><br><input type=radio name="FieldData8" value="Several times a week" id="radio82"><font face="Verdana" size="2" color="#000000"><label for="radio82">Several times a week</label></font><br><input type=radio name="FieldData8" value="Once a week" id="radio83"><font face="Verdana" size="2" color="#000000"><label for="radio83">Once a week</label></font><br><input type=radio name="FieldData8" value="Not Often" id="radio84"><font face="Verdana" size="2" color="#000000"><label for="radio84">Not Often</label></font><br> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Why do you want to be a moderator?</font></td>
 <td><textarea name="FieldData9" cols="60" rows="10"></textarea><br> </td>
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<td class="label" colspan="2"><font color="#FFFFFF" face="Verdana" size="2"><b>Image Verification</b></font></td>
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<td class="captcha" style="padding: 2px;" width="10"><img src="http://www.emailmeform.com/turing.php" id="captcha" alt="captcha"></td>
<td class="field" valign="top"><div><font color="#000000">Please enter the text from the image</font>:<br><input type="text" name="Turing" value="" maxlength="100" size="10">
 [ <a href="#" onclick=" document.getElementById('captcha').src = document.getElementById('captcha').src + '?' + (new Date()).getMilliseconds()">Refresh Image</a> ] [ <a href="http://www.emailmeform.com/?v=turing&amp;pt=popup" onClick="window.open('http://www.emailmeform.com/?v=turing&amp;pt=popup','_blank','width=400, height=500, left=' + (screen.width-450) + ', top=100');return false;">What's This?</a> ]</div>
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<input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;">
<input type="submit" class="btn" value="Send email" name="Submit">&nbsp; &nbsp; <input type="reset" class="btn" value="  Reset  " name="Clear"></td>
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</form>By my submitting this form, I agree to follow all the rules of The Bulletin Board and Proboards.  Furthermore I attest to the fact that all the information is true and accurate.