XL Citizenship Application

 
* Asterisk indicates a required field
YOUR DETAILS
First Name: *
Last Name: *
Email: *
Phone Number: (Incl. Country Code)
Mobile Number: (Incl. Country Code)
Mailing Address: *
City: *
State/Province:
Country: *
Post Code:
Company Name:
Gender:
Male Female
Date of Birth:
 
REFERENCES
Important! If an XL Citizen is sponsoring you, please be sure to supply this information to speed your application. If this information is left blank, you will be placed on our Wait List until an XL Citizen sponsor can be located for you.

Enter details of XL Citizen who is sponsoring you for citizenship:
Name of XL Citizen:
Email of XL Citizen:
 
ABOUT YOU

In no more than 200 words, please complete each section below, telling us about yourself
 
What is it that is attracting you to apply for XL Citizenship?
 
What do you have of value to bring to the community?
 
TERMS OF APPLICATION
By checking this box, I verify that I have read and agree to the Terms and Conditions of XL Nation, that all above information is correct, and consent to possible reference and background checks.