JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Citizenship Form
First step to become naturalized as a citizen of The Republic of Fleischland
Sign in to Google
to save your progress.
Learn more
Full Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
What country and city were you born in?
Your answer
What citizenship do you currently hold?
Your answer
Do you currently reside in Fleischland or its Territories?
Yes
No
Clear selection
(If Yes) What State//Territory do you reside in?
Your answer
(If Yes) What City/Town do you reside in?
Your answer
What is your current ocupation?
Your answer
What is your current average salary?
Your answer
What is your Email?
Your answer
Why do you want to become a citizen of Fleischland?
Your answer
Do you promise to obey the laws of Fleischland?
Yes
No
Clear selection
Do you swear loyalty to Constitution of Fleischland?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
