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, please explain ____________________________________________ ___________________________________________________________ Number of years they have been 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? _______________ 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? _____________ priest? _____________ 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: __________________________________________________________ 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? _____________________ 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 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).