STATE OF ALABAMA
                         RESIDENCY APPLICATION



     Name: ________________  (_) Billy-Bob
               (last)        (_) Billy-Joe
                             (_) Billy-Ray
                             (_) Billy-Sue
                             (_) Billy-Mae
                             (_) Billy-Jack
                             (Check appropriate box)

     Age: ____
     Sex: ____ M _____ F _____ N/A
     Shoe Size: ____ Left ____ Right

     Occupation:
     (_) Farmer
     (_) Mechanic
     (_) Hair Dresser
     (_) Un-employed

     Spouse's Name: __________________________

     Relationship with spouse:
     (_) Sister
     (_) Brother
     (_) Aunt
     (_) Uncle
     (_) Cousin
     (_) Mother
     (_) Father
     (_) Son
     (_) Daughter
     (_) Pet

     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_

     Do you have a gun rack?
     (_) Yes (_) 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

     Brand of chewing tobacco you prefer:
     (_)Red-Man

     How far is your home from a paved road?
     (_)1 mile
     (_)2 miles
     (_)don't know
     (_)what's a road?

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