State of Arkansas Driver's License Application

Last name: ________________

First name:
( _ ) Billy-Bob
( _ ) Billy-Ron
( _ ) Billy-Joe
( _ ) Billy-Ray
( _ ) Billy-Sue
( _ ) Billy-Mae
( _ ) Billy-Jack
( _ ) Billy-Elvis
(Check appropriate box)

Age: ____

Sex: ____ M _____ F _____ not sure

Shoe Size: ____ Left ____ Right

Occupation:
( _ ) Farmer
( _ ) Mechanic
( _ ) Hair Dresser
( _ ) Unemployed

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; If 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
( _ ) Other

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