KENTUCKY DRIVERS LICENCE APPL
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
Sex: ____ M _____ F _____ Not sure
Shoe Size: ____ Left ____ Right
Occupation:[_] Farmer [_] Mechanic [_] HairDresser [_] Waitress [_] Unemployed [_]Dirty-Politician
Relationship to spouse:[_] Sister[_]Aunt
[_] Brother [_]Uncle [_] Mother [_]Son
[_] Father [_]Daughter [_] Cousin[_]Pet
Color of teeth: [_] Yellow [_] Brownish-Yellow [_] Brown [_] Black
[_] N/A [_] Teeth?
2nd Spouse's Name:__________________
3rd Spouse's Name:__________________
Lover's Name:_______________________
2nd Lover's Name:___________________
Number of children living in shed: ___
Number that are yours: ___
Father's Name: _____________________
(If not sure, leave blank)
Education: 1 2 3 4 (Circle highest grade completed)
Number of vehicles that still crank:___
Number of vehicles in front yard:___
Number of vehicles in back yard:___
Number of vehicles on cement blocks ___
Do you have a gun rack? [_]Yes [_]No,
If no, please explain: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___ 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
How far is your home from a paved road? [_] 1 mile [_] 2 miles [_] don't know [_] paved?
