Jailbreak Moderator Application
Information
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What is your STEAMID? *
What is your current Steam name? *
What is your age? *
What is your real first name? *
If you wish, you may also state your last name here.
What is your date of birth? (Optional)
MM
/
DD
/
YYYY
Do you have Discord? If not, can you download it? *
Link your forum account here. *
Can you be online at least 45 hours a week? (Not ingame, just able to receive alerts and messages.) *
Can you be in-game at least 4 hours a week?  If not, please use the box "Other" to state why. *
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