Main character name: 

Current corporation: 

Current alliance: 

Skillpoints of character: 

Date you began playing EVE: 

Date character was created: 

Was the character purchased?

No

Yes

If purchased, link to the EVE-O forum for the purchase:   

Current location of character (System / Region): 

Alts On This Account

Name of first alt: 

Name of second alt: 

Other Accounts

Main character(s) on other account(s): 

Information About You As A Player

Where do you live: 

What timezone is that in: 

What times do you usually play: 

How often do you play: 

E-mail address: 

Other Information

What is your primary source of income in-game:  Mission Running Ratting Mining Industry Trade Pirate Activities Bounty Hunting Other <\SELECT>

What is your ship goal for the next 3-6 months: 

What do you want from your time in IRC:

Do you consider yourself ready for 0.0 now?

No

Yes

If you are not ready yet, how long do you think it will be until you are ready: 

How did you hear about IRC: 

Do you know anyone in an IRC corp, and if so, who: 

Any other comments: