Kentucky Resident Application
Name:__________________________ Nickname:____________________
Address:_____________________________ RFD#:__________
CB Handle:____________
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PERSONAL INFORMATION:
Daddy: (if unknown, attach
list of suspects):______________________________
Mama:________________________________
Education (circle highest grade
completed): K 1 2 3 4 5 6
7 8
Have you obtained higher education?
___Yes ___No
-If yes to the above, what
year did you get your G.E.D.? ________
Do you own (or plan to own) shoes?: ___Yes ___No
Shade of Neck: ___Light Red ___Medium Red ___Dark Red
Length of Legs: Left:_______ Right:______
Are you married to any of the following:
___Sister/Brother ___Cousin
___Niece/Nephew ___Aunt/Uncle
Club/Organization Memberships:
___NRA ___VFW
___Masons ___Sons/Daughters of the Confederacy
___KKK ___PTL
___American Legion
Preferred foods:
___Grits
___Chitlins ___Cobbler
___Taters
___Goobers
___Red Eye Gravy ___Fatback
___Pig Skins
___Collards ___Sawmill
gravy ___Biscuits ___Cornbread
___Side Meat ___Molasses
___Poke ___'shine
___Pinto beans ___Turnip Greens
___RC & Moon Pies ___Potted meat and Crackers
Favorite Vocalists/Groups:
___Porter Waggoner
___Conway Twitty ___Boxcar Willie ___Charlie
Daniels
___Tammy Wynette
___Loretta Lynn ___Johnny Cash
___Barbara Mandrell
___Willie Nelson
___Hank Willams ___Dwight Yoakum ___The
Judds
___Alabama
___George Jones ___Bellamy Brothers ___Randy Travis
Favorite Recreation:
___Drankin'
___Spittin' backy ___Front Porch Rockin'
___Square Dancin' ___Skinny
Dippin' ___Liar's Bench
___Possum Huntin' ___Bull
Chip Throwin' ___Cloggin'
___Fishin'
___Spotlighting (deer) ___Cockfights
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FAMILY INFORMATION:
How many children do you have (circle
appropriate number):
5 6 7 8 9 10 11 12 More
How many children do you suspect you have, not listed above:____________
Total number of dependents: Legal________ Claimed________
Is your spouse heavier than your pick up truck: ___Yes ___No
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OCCUPATIONAL INFORMATION:
How do you plan to earn your income
while living in Kentucky:
___Coal Mine ___Raise
Horses/Cattle ___Recieve Welfare ___Raise
tobacco
___Farm
___Steal Horses/Cattle ___Moonshine
___Raise Marijuana
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