NOTE: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, lineage, and current medical report from your doctor.
NAME __________________________
DATE OF BIRTH ___________________
HEIGHT ________WEIGHT __________
IQ ___________ GPA ______________
SOCIAL SECURITY # _______________
DRIVERS LICENSE # _______________
BOY SCOUT RANK AND BADGES _______
HOME ADDRESS ___________________
CITY/STATE ___________ ZIP ________
Do you have parents? ___ Yes ___ No
If No, explain:
_____________________________________________
_____________________________________________
Number of years they have been married ____________
If less than your age, explain _____________________
_____________________________________________
A truck with oversized tires? ______________________
A waterbed?___________________________________
A pickup with a mattress in the back?________________
Do you have an earring ? _________________________
nose ring, or a navel ring? ________________________
A tattoo?______________________________________
(IF YES TO THE ABOVE, DISCONTINUE APPLICATION AND LEAVE PREMISES)
In 50 words or less, what does LATE mean to you?
______________________________________________
______________________________________________
______________________________________________
In 50 words or less, what does "DON'T TOUCH MY DAUGHTER" mean to you?
______________________________________________
______________________________________________
In 50 words or less, what does ABSTINENCE mean to you?
______________________________________________
______________________________________________
Church you attend _______________________________
How often you attend ____________________________
When would be the best time to interview your:
father? ________________________________________
mother? _______________________________________
pastor? ________________________________________
Answer by filling in the blank. Please answer freely, all answers are confidential.
A: If I were shot, the last place I would want shot would be:
_______________________________________________
B: If I were beaten, the last bone I would want broken is my:
_______________________________________________
C: A woman's place is in the:
_______________________________________________
D: The one thing I hope this application does not ask me about is:
________________________________________________
What do you want to do IF you grow up? _______________
________________________________________________
________________________________________________
What is the current going rate of a hotel room? __________
I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN ANT TORTURE, CRUCIFIXION, ELECTROCUTION, CHINESE WATER TORTURE, RED HOT POKERS, AND OTHER TORTURE.
________________________________________________
Signature (that means sign your name, *****!)
Thank you for your interest. Please allow four to six years for processing.
You will be contacted in writing if you are approved. Please do not try to call or write (since you probably can't, and it would cause you injury). If your application is rejected, you will be notified by two gentleman wearing white ties carrying violin cases (you might watch your back).
NAME __________________________
DATE OF BIRTH ___________________
HEIGHT ________WEIGHT __________
IQ ___________ GPA ______________
SOCIAL SECURITY # _______________
DRIVERS LICENSE # _______________
BOY SCOUT RANK AND BADGES _______
HOME ADDRESS ___________________
CITY/STATE ___________ ZIP ________
Do you have parents? ___ Yes ___ No
If No, explain:
_____________________________________________
_____________________________________________
Number of years they have been married ____________
If less than your age, explain _____________________
_____________________________________________
A truck with oversized tires? ______________________
A waterbed?___________________________________
A pickup with a mattress in the back?________________
Do you have an earring ? _________________________
nose ring, or a navel ring? ________________________
A tattoo?______________________________________
(IF YES TO THE ABOVE, DISCONTINUE APPLICATION AND LEAVE PREMISES)
In 50 words or less, what does LATE mean to you?
______________________________________________
______________________________________________
______________________________________________
In 50 words or less, what does "DON'T TOUCH MY DAUGHTER" mean to you?
______________________________________________
______________________________________________
In 50 words or less, what does ABSTINENCE mean to you?
______________________________________________
______________________________________________
Church you attend _______________________________
How often you attend ____________________________
When would be the best time to interview your:
father? ________________________________________
mother? _______________________________________
pastor? ________________________________________
Answer by filling in the blank. Please answer freely, all answers are confidential.
A: If I were shot, the last place I would want shot would be:
_______________________________________________
B: If I were beaten, the last bone I would want broken is my:
_______________________________________________
C: A woman's place is in the:
_______________________________________________
D: The one thing I hope this application does not ask me about is:
________________________________________________
What do you want to do IF you grow up? _______________
________________________________________________
________________________________________________
What is the current going rate of a hotel room? __________
I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN ANT TORTURE, CRUCIFIXION, ELECTROCUTION, CHINESE WATER TORTURE, RED HOT POKERS, AND OTHER TORTURE.
________________________________________________
Signature (that means sign your name, *****!)
Thank you for your interest. Please allow four to six years for processing.
You will be contacted in writing if you are approved. Please do not try to call or write (since you probably can't, and it would cause you injury). If your application is rejected, you will be notified by two gentleman wearing white ties carrying violin cases (you might watch your back).
Comments
Post a Comment