1.   Are you interested in joining this group? (R)

        Yes
        No

2.   Please provide your name. (R)

     

3.   What is your current handle?
*Please be sure this is always updated with the group owner if it changes*
~*~Damiana Renewed~*~

     

4.   Please select gender. (R)

        Male
        Female

5.   Please provide your age. (R)

     

6.   Please provide your date of birth.
This information is confidential and required for classification purposes only. (R)

     

7.   Please provide your WDC email address. (R)

     

8.   What do you consider to be your current writing level? (R)

        Novice
        Beginner
        Intermediate
        Advanced
        Published

9.   Where did you find this group?

     

10.   Were you referred by another member? If yes, who?

     

11.   I agree to conduct myself in a mature and respectful manner to everyone at all times. If at any time I experience difficulty with another member of this group; I agree to bring it to the attention of Damiana and not handle it myself. I realize that this group is for my benefit and that priviledge can be revoked at any time. (R)

      Check this box to agree with the above statement.

12.   We of the Academy wish to avoid any conflict of interest which may occur by joining this group.

To that end, we ask that if you already belong to another writing group, that you decline our offer.

If at such a time you decide to leave the other group, we will be happy to re-evaluate your appliation.

Thank you for your understanding.

Please check the box below to confirm that you are not an active member in any other Creative Writing Group. (R)

      Check this box to agree with the above statement.

13.   This survey allows the sending of Gift Points.
      Gift points are accepted and appreciated but aren't required for acceptance into this group.

      You currently have 0 Gift Points.
      Enter the number of Gift Points to be sent:
      Confirm this Gift Point amount by re-entering:
      (From a minimum of 100 to a maximum 250,000 Gift Points.)

Important: Gift Points included will be sent to "Invalid Item" . Writing.Com will deduct a fee of 5% for processing the transaction for group. Gift Points sent through this form are not refundable for any reason. Please use good judgement when sending Gift Points to any member or group.

Disclaimer: The information that you are submitting with this survey form is being sent to ~*~Damiana Renewed~*~ . It is NOT being sent to Writing.Com. You should be careful to not submit any information which you may deem as private or confidential. Writing.Com and its affiliates will not and may not be held responsible or liable, in any way, for any damages that may or may not arise from your submission of this form.