Application for Independent International Representative, Examiner or Knight Membership

The Sovereignites and their organizations are currently accepting creative and reliable applicants to be Independent International Representatives, Examiners and Knight Membership.

To ensure proper consideration, please fill in the information below as completely and accurately as possible.

Email: hoca@5Wmail.com

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Personal Information

* First Name

* Last Name

* Address 1 (Street number, Street name)

Address 2

* City

* State

* Postal Code/Zip Code

* Phone

* Email Address

* Date of Birth (MM/DD/YYYY)

* Position Applying For

* Are you legally authorized to work in the country where you live?

Yes

* Have you ever been convicted of a felony or serious crime such as
theft, extortion, bribery, murder or arson?

Yes

If yes, please explain.

0/50 words

Employment or Volunteer(unpaid work) History

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Voluntary (un-paid) or Employee

Supervisor/Manager

Reason for Leaving

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Voluntary (un-paid) or Employee

Supervisor/Manager

Reason for Leaving

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Voluntary (un-paid) or Employee

Supervisor/Manager

Reason for Leaving

References

* Name

Title

Phone

* Email Address

* How does this person know you:

* How long has this person known you (must be more than one year):

* Name

Title

Phone

* Email Address

* How does this person know you:

* How long has this person known you (must be more than one year):

Additional Skills

Typing Speed (words per minute)

List any additional skills that you would like to mention.

Please submit a copy of your resume.

* Indicates Response Required

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