SOUTHERN CALIFORNIA DRIVER'S LICENSE APPLICATION

 

Name: ______________ Stage name: ___________________

Agent: ______________ Attorney: ____________________

Publicist _____________ Manicurist/hair stylist ___________

Occupation:

[ ] Lawyer

[ ] Actor/Waiter

[ ] Filmmaker/Self-employed

[ ] Writer

[ ] Car Dealer

[ ] Panhandler

[ ] Agent

[ ] Other; please explain: ______________

Please list:

Brand of cell phone: _________________.(If you don't own a cell phone, please explain why.)

Please check hair color:

Teenagers: [ ] Purple [ ] Blue [ ] Orange [ ] Green

Adults: [ ] Brown [ ] Blonde [ ] Platinum Blonde [ ] White (if hair color is white, please explain)

Skinhead Men: Please list shade of hair plugs.

Please check activities you perform while driving: (Check all that apply)

[ ] Eating a wrap

[ ] Applying make-up

[ ] Talking on the phone

[ ] Tanning

[ ] Watching TV

[ ] Reading Variety

[ ] Surfing the Net via your laptop

Please indicate if you drive a:a) Beamer b) Lexus c) Mercedes d) Ford Bronco e) Toyota.

If your answer is E, please add six to eight weeks to normal delivery time for your driver's license.

In the event of an earthquake, should you:a) stop your car b) keep driving and hope for the best c) immediately use your cell phone to call all loved ones d) pull out your video camera and obtain footage for Channel 4

Please indicate number of therapy sessions per week: ____.

Are you presently taking any of the following medications?

a) Prozac;

b) Zovirax;

c) Lithium;

If none, please explain: __________________.

Length of daily commute:

a) 1 hour

b) 2 hours

c) 3 hours

d) 4 hours or more.

When stopped by police, should you a) pull over and have your driver's license and insurance form ready,

b) try to outrun them by driving the wrong way on the 405,

c) have your video camera ready and provoke them to attack, thus ensuring yourself of a hefty lawsuit

In the instance of rain, you should:

a) never drive over 5 MPH

b) drive twice as fast as usual

c) please explain what "rain" means

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