1. What is your first, middle, and last legal name?
_____________________ __________ _______________________________

2. What is your Social Security Number? ________ - _____ - ________

3a. What's your Driver's License Number (if any)? _____________________________

3b. For what U.S. State is it issued? ______

4. In what city and state do you receive IRS tax info? __________________ _____

5. What is your mailing address?
_______________________________ _________________ ______ ________

6. What is your home phone or cellphone number? (_____) - _______ - ___________

7. What is your gender? _________

8. What is your birthdate? ________________________

9. Are you mostly Caucasian, Negroid, or Asian? __________________

10. What language do you speak most fluently? _____________________

11. What is your present height? _____ ft. ____ in.

12. What is your present weight? _________ lbs.

13. What is your eye color? ____________

14. What is your present hair color? _____________

15. Are you a vocational or college graduate? _______

16. What is your main occupation with which you acquire most of your income?
________________________________________________________

17. Is your income range above $ 15,000 per year? ________

18. Do you have stock market or real estate investments? ________

19. Which not-yet-paid loans (if any) do you have? ______________________________

20. Specify if you mostly live in an apartment, cabin, shed, house, trailer, RV, townhouse, condo, or warehouse
___________________________

21. Are you presently renting/leasing a storage unit? ________

22. What is the year, make, and model of the vehicle you mostly drive?
_________ ____________________________ _______________________

23. Specify all of which of the following you presently own: boat, outboard motor, motorcycle, and/or snowmobile _____________________________________________________

24. Do you generally wear glasses? ________

25. What handicaps or disabilities do you presently have? _______________________

26. What temporary or continuing diseases do you presently have? ________________

27. What prescription or over-the-counter pharmaceutical drugs have you swallowed within the past month?
____________________________________________________

28. To your knowledge, are you fertile or can you bear children? ________

29. If you are able, do you want to produce or bear children, and can you afford to do that? ________

30a. What is the name and city-and-state location of the church you mostly attend?
_______________________________ ________________________ _____

30b. What religion or religious denomination do you mostly affiliate yourself with?
__________________

31. Will you use spermicides, condoms, or contraceptives when married to temporarily or permanently intend to not produce children? ________

32. Are you willing to suggest committing or commit abortion-homicide murder (i.e. infanticide) to terminate pregnancy? ________

33. Are you an effeminate homogay, or same-gender sodomite? _______

34. Do you presume valid the anti-Genesis non-scientific myth of evolution? _______

35. Do you dabble in astrology, the occult, witchcraft, sorcery, voodoo, or necromancy? ______

36. Do you consider yourself a chauvenistic sexist feminist or sexist-feminist supporter? ______

37. Is it acceptable for your mate to sip alcoholic communion wine during communion? ________

38. Do you eat meat bloody rare or medium rare? ________

39. Do you ever smoke or chew nicotene products? ______

40. Is it necessary or helpful or whatever for a healthy, Christian, young woman to apply artificial additions to supposedly enhance her beauty like Leviticus 19:28-forbidden tattoos, Jezebel-and-harlot-like eye shadow, eyelashes, fingernail polish, toenail polish, lipstick, allergies-exacerbating perfumes, or rouge in view of II Kings 9:30 and Ezekiel 23:40....or to extravagantly seek to acquire a high-priced wardrobe according to I Timothy 2:9 and I Peter 3:3? ______

41. Do you vote for anti-abortion, anti-homosexual, anti-feminist politicians? ______

42. Do you prefer female government officials, lawyers, judges, newscasters, clergy.....or instead males? ________

43. Should a man be medically treated by male doctors only, and especially a woman be medically treated by female physicians only? ___________

44. Is it OK to sexually stimulate and sexually harass erotically-sensitive men by exposing naked female mopheadedness, arms, legs, and socksless feet during summer and/or indoor/outdoor sports in their possible or obvious view? ________

45. Should women arrogantly compete against men in the business and corporate world..... or instead stay home and tend to housekeeping and child-raising? ______________________

46. It is appropriate to read the New Revised Standar Version or Revised Standard Version Old Testament and the King James Version (or John Wesley) New Testament and New King James Version for devotions with your date? ________

47. Pertaining to cohabitational living-together details, should the husband have the final and overriding say as to any household and familial-related phenomena which has, does, and will occur? _________

48. Would you be content to become married to your date without a wedding ceremony, and should common-law spouses wear marriage rings on the 4th fingers of their left hands (if convenient)? ________

[NOTE: After the applicant answers the questions in this exam, and the reviewer receives those answers, if the reviewer does not communicate with the applicant after one week, the reviewer no longer regards the applicant as eligible for further consideration]