NAME_____Casey Webster_______ DATE OF BIRTH___19/9/1980_
HEIGHT__6ft 1___ WEIGHT__89kgs___ IQ___high enough____ GPA___say what?____
SOCIAL SECURITY #_____mate, im employed, i dont have one._____ DRIVERS LICENSE #___68 825 XXX__
BOY SCOUT RANK AND BADGES__________Bit old for that____________________
HOME ADDRESS___Somewhere in QLD_______ CITY/STATE___QLD____ ZIP__4556__
Do you have parents? _X_Yes ___No
Is one male and the other female? ___Yes _X_No
If No, explain: ____There is only one, the other became dead_________________________________________
________________________________________________________________
Number of years they have been married ______Before i was born mate____________
If less than your age, explain
____________Death___________________________________________
________________________________________________________________


ACCESSORIES SECTION:

A. Do you own or have access to a van? _X_Yes __No
B. A truck with oversized tires? __Yes _X_No
C. A waterbed? __Yes _X_No
D. A pickup with a mattress in the back? __Yes _X_No
E. A tattoo? __Yes _X_No
F. Do you have an earring, nose ring, pierced tongue, pierced cheek or a belly button ring? __Yes _X_No


(IF YOU ANSWERED 'YES' TO ANY OF THE ABOVE, DISCONTINUE APPLICATION AND LEAVE THE PREMISES IMMEDIATELY. I SUGGEST RUNNING.) Dont kid yourself


ESSAY SECTION:


In 50 words or less, what does 'LATE' mean to you?
____________After the expected or designated time.___________________________________________
______________________________________________________________
In 50 words or less, what does 'DON'T TOUCH MY DAUGHTER' mean to you?
______________Wait for her to say "my dad isnt looking, he isnt even here, he is old and no match for you anyway"________________________
______________________________________________________________
In 50 words or less, what does 'ABSTINENCE' mean to you?
_____________Giving up drinking, i wouldnt advise it_______________________________________
______________________________________________________________


REFERENCES SECTION:


Church you attend _____Youre kiddin me arent ya?___________________________________
How often you attend _________I wouldnt even attend a wedding there_______________________________
When would be the best time to interview your:
father? ____Anytime you like, he aint goin anywhere_____
mother? ____Youll have to ask her______
pastor? ____I dont mind the odd bowl, but i prefer a steak____


SHORT-ANSWER SECTION:


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:
________Buggered if i know, havent actually been shot yet..._______________________________________
B: If I were beaten, the last bone I would want broken is my:
_______That is a bloody big IF mate__________________________________
C: A woman's place is in the:
________Shops so im told________________________________________
D: The one thing I hope this application does not ask me about is:
________Ask what you like, only way youll get to know me________________________________________
E. What do you want to do IF you grow up? _______Im there. Electrician____________
______________________________________________________________
______________________________________________________________
F. When I meet a girl, the thing I always notice about her first is:
_______Whether or not her old man has a gun, cause i love a challenge_____________________________________________



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, AND RED HOT POKERS, is that all ya got?