Form cover
Page 1 of 2

Selfient Beta Application:

*Important Note: This Form is Not Intended for an Airdrop or Any Potential Future Airdrops.*

Please fill out the following information:

Email:

Please enter your email.

Twitter Handle:

If you do not have a Twitter account please enter N/A.

Discord Name:

If you do not have a Discord account please enter N/A.

Describe Yourself:

Please choose what best describes you.

How do you plan to use Selfient's Smart Employment Agreements?

Please choose how you plan to use Selfient as a platform.

Why are you interested in using Selfient?

Please provide a detailed response. Those who provide more information will move to the top of the list and receive priority access.

Did anyone refer you to join the beta?

Please enter their discord name or twitter handle. Please note that both parties who received the referral will move up higher on the list.