Application for Editor status
This form is to be completed after having created a Patholines account at:
Sign in to Google to save your progress. Learn more
Requested username at *
Professional status *
If "Other", please describe your experience in pathology
Irregular behavior information *
All edits I make to are tracked in the MediaWiki software, and upon any irregular behavior, an investigation will be performed wherein I may be requested to provide identification and credentials to the board. Failure to provide those items may result in that edits made by me will be reverted.
Email address *
Necessary for sending you the password of your account, which you can later change.
Real name (optional for editing, but required in order to add yourself to author lists of articles)
Public display
If having stated your real name
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy