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 ONE male and ONE female parent?__________ If NO, explain_____________________________________________________________________________________________Number of years married________If less than your age,Explain__________________________________________________________________________________________________Do you own a van?_____ A truck with oversized tires?_____ A waterbed?__________ A pickup with a mattress in the back?______A condom?______ Pornography?_______ Do you have earring, nose ring,or a belly button 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, andpriest?_____________Answer by filling in the blank. Please answer freely, all answers are confidential. (that means I won’t tell anyone EVER)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__________________________________________________________E: When I first meet a girl, the thing I notice about her first is__________________________________________________________NOTE: if answer E begins with T or A, discontinue. Leaving premises keeping your head low and running in a serpentine fashion is advised.What do you want to do IF you grow up__________________________________________________________________________What is the current going rate of a hotel room?_______________Condoms come in A: 3 B: 6 C: 9 D: 12 E: ALL OFTHE ABOVE(circleone)I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN HAND TORTURE, CRUCIFIXION, ELECTROCUTION, CHINESE WATER TORTURE, RED HOT POKERS, AND HILLARY CLINTON KISS TORTURE._______________________________________Signature (that means sign your name moron)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).
