Arkansas Residency Application
Last Name: ________________ (last)
First Name: (Check appropriate box)
(_) Billy-Joe
(_) Billy-Ray
(_)
Billy-Sue
(_) Billy-Mae
(_) Billy-Jack
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?
___ 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