Application for Permission to Date my Daughter

Note: This application will be considered incomplete and rejected unless accompanied by a complete financial statement; job history; lineage; and current medical report from your physician.

PART 1

Complete Name____________________________________________________

Complete Address (No P.O. Boxes)

_____________________________________

_____________________________________

Date of Birth ____________ Height ____________ Weight __________

IQ ______ NI No _______________ Driver Lic. No ________

Can you see the floor in your bedroom? ________

How long have you been in the truth? _________

Do you have any brothers or sisters? __________

If yes, do they wish YOU had been adopted by a foster family? _______

Are your parents in the truth? ___________ One or both? ____________

Will your parents throw a party for you when you move out? _________

Do you own a vehicle for field service? _______

If yes, please check appropriate category and all that apply

Motorcycle_____ No further questions

Sports car____ Modified engine ____ Chrome wheels ___ Tinted Windows___

Pick-up truck _____ Oversize tyres _____ Body lift _____ Roll bar _____

Saloon ____ Heavy rust ____ Bald tyres ____ Prime painted ____ Worn interior___

Van _____ Shag carpeting _____ Chain steering wheel _____ All life’s belongings in back _____

What type of stereo system is installed in your vehicle? _________

List features of above ________________________________________
(i.e., watts, # of speakers, CD changer, base tube, woofers, etc.)

Do you have any traffic violations on your driving record? _______

If yes, please explain ________________________________________

In 50 words or less, what does the word LATE mean to you?

___________________________________________________________________

In 50 words or less, what does DON’T TOUCH MY DAUGHTER mean to you?

__________________________________________________________________

What congregation do you attend? __________________ How often? _____

Please name your:

Presiding Overseer _____________________

Circuit Overseer _______________________

District Overseer _______________________

When would be the best time to interview your parents? ___________________

When would be the best time to interview your Presiding Overseer? _________

PART 2

Answer the following questions honestly with no outside help. All Answers will be kept strictly confidential.

Name the 12 apostles

________________________________________________________________

Can you name the books of the Bible from memory? ________

How about backwards? _______

If you answered NO to any of the above questions, why not?

If you had a $20 bill in your pocket, how would you spend it?

Choose one of the following:

Buy new release music CD ____ Put in KH contribution box____ Go to movies with your friends ____

Have you PRE-PLANNED your funeral? ____________ Do you have a will?________

Do you carry a current blood card? ___________

When you hear the word “pioneer” at the congregation meetings, what

comes to your mind? _____________________________________________

If you were beaten and accidentally killed (i.e. because you tried to kiss my daughter)

do you feel you would be entitled to resurrection? _______________

Please justify the above response________________________________

Fill in the blank: A women’s place is in the _______________________

What would you want to be IF you grow up? ______________________

PART 3

I acknowledge that all information supplied above is true and correct to the best of my knowledge under penalty of death, dismemberment, impalement, electrocution, Chinese water torture or any other means deemed fit.

__________________________________________________ __________
Applicant’s Signature (No “X” signatures accepted) Date

Thank you for your interest in my daughter. Please allow four to six years for processing. You will be notified in writing if your application is approved. In the meantime, DO NOT attempt to call or write my daughter due to risk of personal injury. Of course in the interim, should you mature enough to become a ministerial servant or elder, then please make us aware of this information in writing. Your application will be considered sooner as a result of this updated information.

Steve