Requirements : Black Belt or Higher
: Forum and In-game Active

Your real name:
Your age*:
Your Belt and QI:
Ban/infraction history:
Your timezone:
Mod that you prefer to play:
Other abilities**:
Self information:

You can also do a free form application. 
In doing this you will have more of a chance of getting in.

* age doesn't change the overall verdict, just shows us what we can accept - like school or work
** graphic design, video making et cetera

Take this as advice. If you write a better application,
and by that I mean the last point, you will have better chances of getting in.
Show that you want to join and think about it!