Immigration Application I confirm that I am 14 years of age or olderCheck this box to confirm this declaration Names and Aliases What is your full and legal name? * Please provide us with your full and legal name. This is the name that you would have printed on official documents like driving licences, passports and ID cards. This field is required. What name do you wish to be known as (if different)? Sometimes people go about in daily life with a name that is different than their actual legal name. Examples of this would be deed-poll name changes, married or divorced surnames, transgender name changes, nicknames, and professional aliases such as a pen name. It is fine to be known in Talossa with such names. If you answer this question then the name provided here will be displayed in your profile rather than your legal name, but we still require your full legal name above for our records. What other names/aliases do you use for internet related activity? This information is optional, but it would be useful to answer it if you want to connect with other Talossan citizens outside of Talossa (for example, on gaming services such as Playstation Network or XBox Live or on social media sites such as Instagram or Twitter). Personal Details What is your date of birth?* You can only apply for citizenship if you are aged 14 years or older. What is your gender? * Contact Details What is your current address?* Please provide details about where you currently reside. Your mailing address (except for the city) will be kept confidential, but is required information. Your city will be displayed in your profile and this information is used to determine which Talossan province you will be assigned to. (If you are under the age of 18, you may choose to provide your city and country only). What is your current email address?* Please provide your current email address. As with your physical address, unless you request otherwise, your e-mail address will be kept confidential and for official purposes only. Please ensure that the email address you provide is one that you check regularly, and please also be certain to type it correctly, as all correspondence from the Immigration Bureau will be directed to this address (and, after you become a citizen, your election ballots will be directed to this address). Please also make sure that your spam filters will allow incoming mail from the domain @talossa.com to reach you. Is it okay for other Talossan citizens to email you?*—Please choose an option—YESNO Do you wish to provide an optional telephone number?*—Please choose an option—YESNO What is your telephone number? This information is optional. Is it okay for other Talossan citizens to contact you by phone?—Please choose an option—YESNO Micronational History Do you have any previous experience with, or membership in, any "micronations"?*—Please choose an option—YESNO This information is required. Please tell us about your experience with "micronations". Please include all past and present experience, memberships and citizenships. Supporting Statements Have you been introduced to the Kingdom of Talossa by an existing citizen?*—Please choose an option—YESNO Which citizen has introduced you? Tell us a little about yourself. What's important to you? What about your ambitions, your job, your hobbies?* There is a lot to do as a citizen of the Kingdom of Talossa. Knowing some of your interests will help current citizens to suggest to you some of the active Talossan groups and projects that that you may wish to join. The information you provide here will be displayed on your profile. Why I am Interested in Becoming a Talossan:* This essay is perhaps the most critical element of your immigration application and will be published on your profile as part of your introduction to other citizens. Please write a bit about why you wish to become Talossan. How did you find out about Talossa? *Friend or relativeWikipediaThe book, Do Fish Drink Water?The book, Micronations: Lonely Planet GuideRedditRandom internet surfingGoogle AdOther news/magazine articleNone of these Social Media & Verification The Bureau of Immigration is required to carry out verification checks to ensure that all applications being made are 'bona fide'. These checks are to ensure that applications are being made by real people (ie: not spam), that multiple applications are not being made using multiple identities and that applications are not being made with false or other people's identities. Please confirm that you agree to these checks being carried out:*—Please choose an option—YESNO By selecting "YES" you are agreeing to the Bureau of Immigration carrying out an identity check against your social media accounts. The social media profiles that you provide in this section will not be stored or shared without your permission. Please provide a link to one of your social media profiles:* Please provide a link to a social media profile. The profile must be in the same name as the "full and legal name" provided earlier in this application. The social media account must not be brand new. Please provide a link to one of your social media profiles: Please provide a link to a social media profile. The profile must be in the same name as the "full and legal name" provided earlier in this application. The social media account must not be brand new. Do you wish any of these links to be included in your posted profile?*—Please choose an option—Yes, please include both links on my immigration profileYes, but only display link number one on my immigration profileYes, but only include link number two on my immigration profileNo, please do not include these links on my immigration profile If you answer "YES" to this question then links provided shall be posted on your application profile where other Talossan citizens can view them. This is optional, but it does allow for other Talossans to add you to their friends lists and connect with you. The application profile can only be viewed by existing citizens and is not seen by the wider internet public and will not be able to appear in search engine results. Declaration and Submission I affirm/swear, under penalty of perjury in Talossan law, that the information I have provided in this citizenship application is accurate and true. Check this box to confirm this declaration Δ