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NIGGER APPLICATION FOR EMPLOYMENT
It is not necessary to attach a photo since you all look alike.
NAME______________________
DATE______________________
ADDRESS_______________________(If living in automobile give make, model & license number)
NAME OF MOTHA__________________
NAME OF FATHA__________________(If known
MAKE OF AUTOMOBILE:Cadillac____Lincoln____Imperial____
Number of children claimed on Welfare_____________
Number of legitimate Children (If Any)______________
Marital Status: Common Law____ShackedUp___
Place of birth: Charity Hospital__Cotton Patch___Zoo___BackAlley___FreePublic Hospital___
Approximate Estimate of Income: Welfare Unemployment
How many words do you jive a minute?_____
Check machines you can operate: Typewriter____Adding Machine____Telecopter____ Rubber Machine____Switch Blade____ Cotton Hoe____Pistol_____ Television_____Wheelbarrow____
Check foods you like best:Bar-B-Q___Watermelon____Carp___All of the Above____
Check illnesses you may have had in the last year: Measles___Mumps___Gonorrhea___Syphilis____Food Stamp Poisoning___
Abilities: Government Employee___ Demonstration Leader____Evangelist___ Venereal Disease Spreader___Tap Dancer____ Singer____Dope Pusher____Pimp____Thief___All of the Above____
In 50 words or less, describe your greatest desire in life: (other than a white girl)______________________________________________________________________________________________________
I,____________, swars that the jive asked above is answered to
( X or signature )
the best of this niggers ability,
and that I swars that I will always
look like anigger, dress like a nigger,
act like a nigger, and smell like a nigger.
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