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Driver's License Application Form


elboberino

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West Virginia's Driving License Application Form

Last name: ________________

 

First name: (Check appropriate box)

[_] Billy-Bob [_] Bobby-Sue

[_] Billy-Joe [_] Bobby-Jo

[_] Billy-Ray [_] Bobby-Ann

[_] Billy-Sue [_] Bobby-Lee

[_] Billy-Mae [_] Bobby-Ellen

[_] Billy-Jack [_] Bobby-Beth Ann Sue

 

Age: ____ (if unsure, guess)

 

Sex: ____ M _____ F _____ Not sure

 

Shoe Size: ____ Left ____ Right

 

Occupation:

[_] Farmer [_] Mechanic

[_] Hair Dresser [_] Waitress

[_] Un-employed [_] Dirty Politician

 

Spouse's Name: __________________________

 

2nd Spouse's Name: __________________________

 

3rd Spouse's Name: __________________________

 

Lover's Name: __________________________

 

2nd Lover's Name: __________________________

 

Relationship with spouse:

[_] Sister [_] Aunt

[_] Brother [_] Uncle

[_] Mother [_] Son

[_] Father [_] Daughter

[_] Cousin [_] Pet

 

Number of children living in household: ___

 

Number of children living in shed: ___

 

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 run

___ 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 ____ kitchen

____ bedroom ____ bathroom

____ shed

 

Model and year of your pickup: _____________ 194___

 

Do you have a gun rack?

[_] Yes [_] No; If no, please explain:

 

Newspapers/magazines you subscribe to:

[_] The National Enquirer [_] The Globe

[_] TV Guide [_] Soap Opera Digest

[_] Rifle and Shotgun

 

___ 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 [none]

 

Brand of chewing tobacco you prefer:

[_] Red-Man [_] Skoal

 

How far is your home from a paved road?

[_] 1 mile

[_] 2 miles

[_] don't know

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