(Please note that "NO" state, city, race, or country has been indicated within this page.)

Redneck Driver's Test Application:

Plez compleet this paper, best ya can.

Last name: ________________        First name:
                         [_] 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            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: __________________________

Number of children living in household: ___
Number of children living in shed: ___

Mother's Name: ___________________(include first and last)
Father's Name:  ___________________(include first and last)

Education: 1 2 3 4 (Circle highest grade completed)
If you obtained a higher education, what was your major?
 [_] 5th grade     [_] 6th grade

Do you [_] own or [_] rent your mobile home?

Vehicles you own and where you keep them:
 ___ 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

Age you started drivin ______
(If over 10 are you are still slow lerrnin?  [_] Yes *      [_] No)

Firearms you own and where you keep them:
 ____ truck         ____ kitchen                    ____# of firearms
 ____ bedroom    ____ bathroom/outhouse
 ____ shed          ____ pawnshop

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              [_] Bassmasters_

 ___ 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

How many teeth in YOUR mouth? ___
 Color of teeth:
   [_] Yellow  [_] Brownish-Yellow
   [_] Brown   [_] Black
   [_] N/A

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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