Post by Chuck on Mar 3, 2005 14:09:05 GMT -5
Note: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, lineage and medical report from your doctor.
Name:________________________ Nickname/Alias:___________________
Date Of Birth:____/____/____ height:______ Weight:______ I.Q.:______
G.P.A.:________ Soc. Sec.#______-___-_______
Driver's License#____________________
Boy Scout Rank:_____________Good Standing: Yes_____No_____
Home Address:_______________________________
City/State/Zip_____________________________
Home Phone#: (___)___________ Car Phone#:_______________ Pager#:__________
Do you own
a. Van?____
b. Truck with oversized tires?____
c. Car with a trunk full of speakers?_____
Do you have any of the following:
a. An earring_____
b. nose ring______
c. belly button ring_____
or piercings on any other body parts_____
Explain:_____________________________________________________
Tattoo?______
(If you answered YES to any of the above questions, discontinue and leave the premises immediately.)
In 30 words or less, what does "LATE" mean to you? ________________________________________________________________
In 30 words or less, what does "DON'T TOUCH MY DAUGHTER" mean to you? ________________________________________________________________
Church you attend_____________________ How often______________________
Best time to interview your pastor?_______________________
Fill In The Blank. Please answer freely, all answers will be confidential.
a. If I were beaten, the last bone I want to be broken broken is: ____________________________________________________
b. The one thing I hope this application does not ask me is ____________________________________________________
c. Now answer the question you filled in on B ____________________________________________________
NOTE: If you have answered any of the previous questions dishonestly (and I will find out), discontinue application. It is advised that you leave the premises quickly keeping your head low and running in serpentine fashion.
I swear that all information provided above is true and correct to the best of my knowledge under penalty of death, dismemberment, electrocution, and/or hot pokers.
_____________________________
Signature (This means sign your name)
Thank you for your interest. Please allow 4 - 6 YEARS for processing. If your application is approved, you will be contacted in writing. Please do not call or write, this could cause you unexpected injury.
Name:________________________ Nickname/Alias:___________________
Date Of Birth:____/____/____ height:______ Weight:______ I.Q.:______
G.P.A.:________ Soc. Sec.#______-___-_______
Driver's License#____________________
Boy Scout Rank:_____________Good Standing: Yes_____No_____
Home Address:_______________________________
City/State/Zip_____________________________
Home Phone#: (___)___________ Car Phone#:_______________ Pager#:__________
Do you own
a. Van?____
b. Truck with oversized tires?____
c. Car with a trunk full of speakers?_____
Do you have any of the following:
a. An earring_____
b. nose ring______
c. belly button ring_____
or piercings on any other body parts_____
Explain:_____________________________________________________
Tattoo?______
(If you answered YES to any of the above questions, discontinue and leave the premises immediately.)
In 30 words or less, what does "LATE" mean to you? ________________________________________________________________
In 30 words or less, what does "DON'T TOUCH MY DAUGHTER" mean to you? ________________________________________________________________
Church you attend_____________________ How often______________________
Best time to interview your pastor?_______________________
Fill In The Blank. Please answer freely, all answers will be confidential.
a. If I were beaten, the last bone I want to be broken broken is: ____________________________________________________
b. The one thing I hope this application does not ask me is ____________________________________________________
c. Now answer the question you filled in on B ____________________________________________________
NOTE: If you have answered any of the previous questions dishonestly (and I will find out), discontinue application. It is advised that you leave the premises quickly keeping your head low and running in serpentine fashion.
I swear that all information provided above is true and correct to the best of my knowledge under penalty of death, dismemberment, electrocution, and/or hot pokers.
_____________________________
Signature (This means sign your name)
Thank you for your interest. Please allow 4 - 6 YEARS for processing. If your application is approved, you will be contacted in writing. Please do not call or write, this could cause you unexpected injury.
