Jeslek
Banned

NOTE: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, driving record, lineage, and current certified medical report (including drug tests) 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? ___yes ___no
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, belly button ring,
or 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 SISTER" 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. Running in a serpentine fashion is advised.)
15. What do you want to be IF you grow up? ____________________________________