Rodney Ohebsion

Application

First Name_________________________
Second Name___________________
Last Name __
Hebrew Name ___________
4th Grade Nickname_______________
8th Grade Crush ______________
Square Root of 2 _____
Lucky Number ______
Mother’s Manicurist’s Maiden Name__________________
Favorite Stooge ________
Reason Why He’s Your Favorite __________________
Address (of the Stooge)_________________
City _
State____________________
Zip Code (last four digits)____
Zip Code (first digit)____________
Zip Code (all five digits)____________
Email Address _
Ex-Spouse’s Phone # _________
Favorite Cousin: ___________
Date of Last Reincarnation _____
Time & Date of Last Bowel Movement ______
Time & Date of First Bowel Movement ______
Favorite Pulp Fiction Scene____
Best Friend’s Favorite Pudding Brand _______
Age of Consent in South Dakota __
Take the last four digits of your social security number, and don’t write them down anywhere
Third Favorite Amos N’ Andy Radio Episode _____________

Race/Ethnicity (Select at least 20):
White ☐
Off-White ☐
Oriental Asian ☐
Hispanic ☐
Herspanic ☐
Negro Colored Black African-American ☐
African-African ☐
Arab ☐
Brab ☐
Crab ☐
Antarctican ☐
Unsure ☐
All of the Above ☐
None of Your Business ☐
Indian ☐
Indian (The Other Kind) ☐
Venetian (from Venice) ☐
Venetian (from Venus) ☐
Venetian (from Vienna) ☐
North Polian ☐
Mermaid ☐
Smurf ☐
Sesame Street Character ☐

Religious Affiliation (Select all 437):
Christian ☐
I Celebrate Christmas, But I Don’t Believe in Jesus ☐
I Believe I’m the Messiah ☐
I Believe My Mailman’s the Messiah ☐
Jewish ☐
Mohammaden Mussilman Muslim ☐
Hindu ☐
Hindon’t ☐
Taoist ☐
Maoist ☐
Meowist ☐
Smoking ☐
Non-Smoking ☐
Mohist (Mo Tzu) ☐
Mohist (Moe Howard)☐
Buddhist ☐
Nudist ☐
Agnostic (I Believe It’s Impossible to Determine Whether or Not God Exists) ☐
Agnostic² (I Believe That We Do Not Know Whether or Not God Exists, and That It May or May Not Be Possible to Determine Whether or Not God Exists) ☐
Agnostic³ (I Believe That I Personally Do Not Know Whether or Not God Exists—But I’m Unwilling to Make Any Assumptions About Whether Others Know Whether or Not God Exists, or Whether It’s Possible to Determine Whether or Not God Exists ☐
Agnostic⁴ (I May or May Not Know Whether or Not God Exists—And for All I Know, I Might Be God) Atheist ☐
Candid Camerist (I Believe That Allen Funt, God the Father, and the Holy Ghost Are Playing a Practical Joke on All of Us)