
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.
1. NAME _______________________________ DATE OF BIRTH
________________
2. HEIGHT ___________________ WEIGHT __________ I.Q
_______ G.P.A.______
3. SOCIAL SECURITY # _____________ DRIVERS LICENSE #
__________________
4. BOY SCOUT
RANK____________________________________________________
5. HOME ADDRESS _________________ CITY/STATE ___________
ZIP _________
6. Do you have one MALE and one FEMALE
parent?___________________________
If No., EXPLAIN
___________________________________________________
7. Number of years your parents have been married
________________________
8. Do you own a van? ______ A truck with oversized
tires? ______ A
waterbed? _______ Do you have an earring, nose
ring, or belly
button ring? A tattoo_________________
(If "yes" to any of #8, discontinue application and
leave premises )
9. In 50 words or less, what does "LATE" mean to
you?____________________
_______________________________________________________________________
10. In 50 words or less, what does "DON'T TOUCH MY
DAUGHTER" mean to
you?
_________________________________________________________________________
_______________________________________________________________________
11. In 50 words or less, what does 'ABSTINENCE" mean to
you?
_____________________________________________________________________
12. Church you attend _____________ How often do you
attend
__________________
13. When would be the best time to interview your
father, mother and
priest/rabbi/minister? __________
14. Answer by filling in the blank: please answer
freely. ALL answers
are confidential (That means I won't tell anyone-ever-I
promise.)
a) If I were shot the last place on my body I would
want wounded is
________
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 first thing I notice
about her Is
( NOTE: If your answer begins with "T" or "A",
discontinue. Leave
premises keeping your head low and running in a
serpentine
fashion is advised.)
15. What do you want to be IF you grow up?
__________________________________
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, ELECTROCUTION, CHINESE
WATER TORTURE,
RED HOT POKERS, AND HILLARY CLINTON KISS TORTURE.
________________________________________
Signature( That means your name, moron)
Thank you for your interest Please allow four to six
years for
processing. You will be notified in writing 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 gentlemen weaning white ties and carrying violin
cases (You might
want to watch your back)
[All jokes are believed to be in the public domain. If you feel one of these belongs to you, please let us know the details and we will either remove the material or provide a link at your request.]
Unless otherwise noted, all photos and text is Copyright © Richard G Lowe, Jr.