Before you touch this form, stop.
Have you read My Tributes page? My Specialties? My Protocol?
All three. In full. Not skimmed.
If the answer is no — close this page and go read them. Come back when you have. Submitting without doing so is your first act of disrespect, and I will know.
If you have done the work, the application is below. Take your time with it. I read everything carefully. Vague answers and incomplete forms are deleted without response.