$1.$ What is your name $($include maiden name$)?$

$2.$ What is your address $($include home ownership$)?$

$3.$ What is your desired job and salary?

$4.$ What is your marital status?

$5.$ How many children do you have?

$6.$ What is your work experience?

$7.$ What is your military experience $($include type of discharge$)?$

$8.$ Did you graduate from high school $($include year of graduation$)?$

$9.$ Did you graduate from undergraduate or graduate college $($include year of graduation$)?$

$10.$ What is the name of your nearest of kin?

$11.$ What is your gender, race, religion, national origin, and color

$12.$ What is your sexual orientation?

$13.$ How many garnishments do you have?

$14.$ What is your credit rating?

$15.$ What is your height and weight?

$16.$ Are you pregnant? If you are pregnant, when are you due?

Part II

$17.$ Are you handicapped $($if yes, state your handicap$)?$

$18.$ Are you able to send a picture of yourself within the next three calendar days?

$19.$ Are you able to send a sample of your handwriting within the next three calendar days?

$20.$ Do you speak Spanish?

$21.$ Do you own a car?

$22.$ Have you ever been arrested?

$23.$ Are you eligible to work in the United States?

$24.$ What is your high school grade point average?

$25.$ Are you a member of a labor union?

$26.$ When are you available to take a polygraph test?

$27.$ When are you available to take a drug test?

$28.$ When are you available to take an intelligence test?

$29.$ How fast can you type?

$30.$ How many pounds can you pick up$?$

$31.$ What is the length of your nose?

$32.$ What is the length of your hair?

$33.$ Do you smoke?

$34.$ Is a glass that contains $50$ percent liquid half full or half empty?

$35.$ Do you have a family history of cancer or heart disease?

$36.$ What should we know about you that has not been covered in this application form?