EmailMe Form - BREAK DIVING WORLDWIDE APPLICATION

Name *

Prefix First Last

Email *

NOTE: Some users receive an error when trying to submit saying "Your email is not valid". If you receive this error, please copy and paste the entire form (including questions) and send directly to info@breakdiving.org

Confirm Email

Phone

### - ### - ####

Date of Birth *

MM / DD / YYYY

We need this for legal purposes. Thank you.

Please List Two Other Ways to Contact You *

For example: Skype, Instagram, Facebook, Twitter, Alternate Email Address, etc.

Native Language(s) *

Nation of Citizenship *

Studying Language(s) *

Current Country *

Are you ready to actually engage with others and share your dreams and assist others with their dreams? *

Yes, I am ready to pursue my dreams, make new friends worldwide (and locally), and help others navigate through this thing called life!

No, I am lazy, don't want to pursue my dreams, and do not like helping others. [Hint: This isn't a good choice. Just a friendly suggestion!]

Please answer all of the following questions.

What is the Break Diver's Creed, and what does it mean to you? *

Why is Break Diving different than other social media sites. List at least three reasons. Again: at least three reasons. *

Break Diving is not like other social media sites and internet communities. Why do you want to become a part of Break Diving, and why will you be a positive addition to our membership? *

Tell us about your past. What brought you to where you are today? *

Tell us about your present. What are you currently doing / working on? What are some of the challenges you face? *

Tell us about your future. What are your big dreams in life? *

We only want people in our community who are going to take the time to help others while pursuing their own dreams as well. How are you going to help others while pursuing your own dreams? *

Which 3 parts of the Diver's Code do you like the most? Please explain your answer.

Upon acceptance, are you prepared to create your profile, post an introduction, respond to others, participate in the chat rooms, pursue and/or get certified in your first dive, and earn 50 points minimum within the next 7 days? *

Yes

No

(You earn points by posting, responding, and actively pursuing your dreams.)

If yes, please explain your plan for the first 7 days in our community.

If yes, do not leave this blank.

I have spent adequate time above to properly answer the above questions, and believe this application accurately reflects who I am and why I'd be a great member of the community. I understand the decision whether to accept me will primarily be made based on the above information, and if I do not meet the minimum requirements after 7 days, my account will be deleted. Further, if I become inactive after 7 days, my account may also be deleted. This application is something I am proud to submit. *

Yes, 100%, and I really want to become a Break Diver!

NOTE: Some users receive an error when trying to submit saying "Your email is not valid". If you receive this error, please copy and paste the entire form (including questions) and send directly to info@breakdiving.org