Redneck 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