Application to become a citizen of New Stoa
First Name
*

Middle Initial


Last Name
*

Birth Date (mm/dd/yyyy)
*

Gender:  Male  Female  *

Occupation
*

Residence - city, state or province, and country - Please Do Not Abbreviate
*

Region


E-mail
*

Brief Statement ** (optional)


* Required
** Your Brief Statement (optional) should be about how and when you first
discovered Stoic philosophy, and may include what Stoicism means to you today.
The statement should not exceed 100 words.