Correect format for applying for Admin/mod

Player name:

How long you have been playing for:

Are you Helpfull:

Are you kind:

have you read all the rules:

Will you follow these rules:

Give me one rule:

Any experience:

Any Staff recomended you to apply for it:

if so which one:

I hereby state, that if i abuse my Administrative Status, and if i quit, i will lose my status and rank.If i mess up and/or do something dire, then i will be iped banned permanantly.
Signed,