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Information & Applications » Entity Regulation Pilot Project Application » Character & Fitness Application for Entity Persons


Browse Forms is for VIEWING the application questions. Sub-sections of the application can be expanded/viewed by selecting Yes / No answer to questions within the application. You must create a user account and login to your user home page to complete an application form.
Contact Information
First Name
John
Middle Name
Frederick
Last Name
Example
Date of Birth
January 10, 1961
Name of Entity Applying
Entity Role
Business Title
Email Address
sample@email.com
Phone Number
(812) 111-5100
Mailing Address 1
Mailing Address 2
City
Sarasota
State
Florida
ZIP Code
90210
Business Address 1
3855 Lake Clearwater Place
Business Address 2
Apt. 222
City
Sarasota
State
Florida
ZIP Code
90210
Note: You are being asked to provide any different name (e.g., legal names, nicknames, or aliases) you have used in employment, official documentation, school records, or government records. Your name(s) will be used as identification in correspondence sent to schools, employers, courts, references, etc. You must provide the full legal name including middle name(s) if applicable. If you have any concerns with the WSBA contacting an employer or other entity using your current or other name, please contact us at admissions@wsba.org prior to submitting your application.