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_____________
SOCIAL SECURITY #_________________ DRIVERS LICENSE #________________
BOY SCOUT RANK AND BADGES____________________________________________
HOME ADDRESS_______________________ CITY/STATE___________ ZIP______
Do you have parents? ___Yes ___No Is one male and the other female? ___Yes ___No If No, explain: ______________________________________________________________
Number of years they have been married ______________________________
If less than your age, explain ______________________________________________________________
F. 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.
_________________________________________________________ Applicant's Signature (that means sign your name, moron!)
_______________________________ ________________________________ Pastor/Priest/Rabbi State Representative/Congressman
Thank you for your interest, and it had better be genuine and non-sexual. 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)