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HILLBILLY JOB APPLICATION





Name: _________________ (first)





Name: _________________ (last)





(__) Billy-Bob





(__) Billy-Joe





(__) Billy-Ray





(__) Billy-Sue





(__) Billy-Mae





(__) Billy-Jack





(Check appropriate box)





Age: ___





Sex: ___ M ___ F ___ N/A





Shoe Size: ___ Left ___ Right





Previous Occupation:





(__) Farmer





(__) Mechanic





(__) Hair Dresser





(__) Un-employed





Spouse's Name: _________________________





Relationship with spouse:





(__) Sister





(__) Brother





(__) Aunt





(__) Uncle





(__) Cousin





(__) Mother





(__) Father





(__) Son





(__) Daughter





Number of children living in household: ___





Number that are yours: ___





Mother's Name: _________________________





Father's Name: __________________________





(If not sure, leave blank)





Education: 1 2 3 4 (Circle highest grade completed)





Do you (__)own or (__)rent your mobile home?





(Check appropriate box)





___ Total number of vehicles you own





___ Number of vehicles that still crank





___ Number of vehicles in front yard





___ Number of vehicles in back yard





___ Number of vehicles on cement blocks





Firearms you own and where you keep them:





___ truck





___ bedroom





___ bathroom





___ kitchen





___ shed





Model and year of your pickup: ____________ 194_





Newspapers/magazines you subscribe to:





(__) The National Enquirer





(__) The Globe





(__) TV Guide





(__) Soap Opera Digest





___ Number of times you've seen a UFO





___ Number of times you've seen Elvis





___ Number of times you've seen Elvis in a UFO





How often do you bathe?





(__) Weekly





(__) Monthly





(__) Not Applicable





Color of teeth:





(__) Yellow





(__) Brownish-Yellow





(__) Brown





(__) Black





(__) N/A





Brand of chewing tobacco you prefer:





(__) Red-Man





How far is your home from a paved road?





(__) 1 mile





(__) 2 miles





(__) don't know





 





Place Your 'X' here: --> ___________