Application form: President of the United States

Application Form

Part I:

Office sought: President of the United States and/or Vice-President of the United States

I. Names used from birth to present:

II. Addresses, birth to present:

III. Family Facts

Include full birth names, other names used, address, professional background, financial details, professional associations, memberships, military service, date(s) of birth, death, and criminal records for:

Mother / Step Mother

Father / Step Father

Siblings (brothers, sisters, & others)

Other ancestors of note

Wife(s)

Husband(s)

Children/natural and step, from all marriages or other offspring.

Other relatives with whom you have active relationships, include all above with the same information you provide about yourself in items I & II above.

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IV. Professional Associates: list with contact information

V. Candidate's Educational Background: All schools from pre Kindergarten to graduate.

VI. Clubs and fraternities: date joined, who your sponsor was, activities, names of those who can verify your participation, character, and accomplishments

VII. Professional History: Jobs held, duties which you were hired to carry out, employers, contact information for each. Please begin with most recent and include all through age when you had your first job in either the private or public sector.

VIII. Publishing History: What have you published under both your own name, a pen name, and through a ghostwriter. Please provide the names of any and all ghost writers.

IX. Military History: Dates, ranks achieved, honors, dishonors, detachment. Names of commanding officers with contact information. Please include all duty assignments both foreign and domestic.

X. Civil Litigation History: Please provide, as either Plaintiff or Defendant all instances, all records, dates and case numbers. Also provide as necessary contact information for your attorneys and attorneys for the opposing parties.

XI. Criminal Record: All dates and circumstances for all citations or arrests. Include all information regarding misdemeanors as well as felonies. Copies of legal papers and resolution as to be provided as well.

XII. Medical History: From age 12 to your present age please provide access to all medical records

XIII. The things you hoped no one would ask. You know what they are. Let us know. We promise you will be sorry if you don't.

Part II:

Tell us about your agenda and how you intend to carry that to fruition, if elected. Outline each issue by Congressional session and year beginning with 10 days following your possible election. Be as specific or as vague as you wish, the electorate will determine if your answer is satisfactory or not.

Addendum:

Would you be willing to submit to a full, psychological battery given by qualified, eminent professionals?