Viaticus Colony Application
Application process for possible migration to the Viaticus colonies.
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Email *
Name *
Organization (provide link, if applicable)
Current Net Worth *
Will you require a sponsor? If yes, your application will be placed in a raffle, where possible sponsor's can know of you. This does not guarantee a place among Viaticus. *
Do you have association with anyone under current Viaticus employment? *
If yes, please provide their full name, and your relationship with them.
Do you have a spouse? *
Do you have children? *
If applicable, how many children do you have?
Have you, or anyone in your family, been convicted of a criminal offense? *
If applicable, elaborate.
Would you say that you, as well as your family, are medically fit? This includes physical and mental health. *
If applicable, elaborate.
Are you currently employed or pursuing a career in STEM? *
Are you currently employed or pursuing a career in  public safety, security, and/or defense? *
Do you have experience in space research and/or exploration? *
We will review the information you've given and get back to you shortly. Please take this opportunity to offer any more information we should know. *
A copy of your responses will be emailed to the address you provided.
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