Free Discord Role Application Form Template

Discord Role Application Form

Please fill out this form with complete details to apply.

Date

    Name

      Email

        Discord Username

          Time Zone

            • Eastern (ET)

            • Central (CT)

            • Mountain (MT)

            • Pacific (PT)

            Preferred Role

              • Member

              • Moderator

              • Admin

              • Community Support

              • Event Coordinator

              Days Available

              Select all that apply:

                • Monday

                • Tuesday

                • Wednesday

                • Thursday

                • Friday

                • Saturday

                • Sunday

                Hours Available

                  • 8 AM - 12 PM

                  • 12 PM - 4 PM

                  • 4 PM - 8 PM

                  • 8 PM - 12 AM

                  • Flexible

                  Why are you interested in this role?

                    Please check the box below to proceed

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