NOTE: This application will certainly be incomplete and rejected unless accompanied by a finish financial statement, job history, control record, lineage, and current certified medical report (including medicine tests) from your doctor. 1. Name _______________________________ date OF bear ________________ 2. Height ______________ weight __________ I.Q _______ G.P.A.____________ 3. SOCIAL defense # _____________ chauffeurs LICENSE # __________________ 4. Young SCOUT RANK____________________________________________________ 5. HOME deal with _________________ CITY/STATE ___________ ZIP __________ 6. Perform you have actually one MALE and one woman parent? ___yes ___no If No, explain ______________________________________________________ 7. Variety of years your parents have actually been married ________________________________ 8. Do you own a van? ______ A truck v oversized tires? ______ A waterbed? _________ execute you have actually an earring, nose ring, belly switch ring, or a tattoo? _____________________ (If "yes" to any type of of #8, discontinue application and also leave premises) 9. In 50 words or less, what does "LATE" median to you?_______________________________________________________________________ _______________________________________________________________________ 10. In 50 indigenous or less, what go "DON"T TOUCH my SISTER" average to you? _______________________________________________________________________ _______________________________________________________________________ 11. In 50 native or less, what walk "ABSTINENCE" mean to you? _______________________________________________________________________ _______________________________________________________________________ 12. Church you to visit _____________ How often do you to visit ______________________ 13. Once would be the finest time come interview her father, mother and also priest/rabbi/minister? ____________________________________ 14. Price by filling in the blank: you re welcome answer freely. All answers space confidential (That way I won"t call anyone -ever- i promise.) a) If i were shot, the last ar on mine body ns would desire wounded is ______________________________________ b) If ns were beaten, the last bone I would want broken is mine ______________________________________ c) A woman"s location is in the ______________________________________ d) The one thing I expect this applications does no ask me about is ______________________________________ e) when I an initial meet a girl, the an initial thing I an alert about her is ______________________________________ (NOTE: If her answer starts with "T" or "A", discontinue. Leave premises maintaining your head low.

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Running in a serpentine fashion is advised.) 15. What do you desire to it is in IF you thrive up? ____________________________________

Can"t you make a PHP fill-out form of that"ll obtain the answers appropriate away And about #15, that"s short man, you know just and also I do that I will NEVER thrive up