Name: _____________________________
Nickname: _____________________________
Address: _____________________________
Exit # (NJ Turnpike): _______
Exit # (Garden State Parkway): _______
- Ethnic Background:
- ___Italian
- ___Sicilian
- ___Jewish
- ___Italian
- ___Italian
- Backyard Smells Like:
- ___Sewage
- ___Sulfur
- ___Garbage
- ___All 3
- # of Muscle Shirts Owned:
- ___5-10
- ___10-15
- ___15-20
- ___20 and above
- # of Bon Jovi Tour Shirts Owned:
- ___5-10
- ___10-15
- ___15-20
- ___20 and above
- # of Bon Jovi Shirts That are Also Muscle Shirts:
- ___5-10
- ___10-15
- ___15-20
- ___20 and above
- Brand of Jeans Preferred:
- ___Sergio Valente
- ___Jordache
- ___Sassoon
- ___Z.Cavaricci
- Percentage of Wardrobe Which is Skintight:
- ___100%
- ___95-100%
- ___90-95%
- ___85-90%
- # of Gold Chains Owned:
- ___10-15
- ___15-20
- ___20-25
- ___25 and above
- # of Gold Chains Worn at One Time:
- ___5-10
- ___10-15
- ___15-20
- ___20 and above
- Approximate Value of ALL jewelry:
- ___$5-$25
- ___$25-$50
- ___$50-$100
- ___Stolen
- Number of Applications of Obsession/Polo/Drakar Before Going Out:
- ___10-15
- ___15-25
- ___25 and above
- Gold Cap on at Least One Tooth?
- ___Yes
- ___No
- Hair Height (must be completed by applicants seeking residency in Edgewater or Bayonne)
- ___6-8 inches
- ___8-12 inches
- ___1-2 feet
- ___More than 2 feet
- Hair Products Used:
- ___Hair Spray
- ___Styling Gel
- ___Mouse
- ___Extra
- Hold Styling Gel:
- ___Bondo
- ___Spackle
- ___40 Weight Oil
- ___Krazy Glue
- Automobile Owned:
- ___IROC Z
- ___Firebird
- ___Camaro
- ___Mustang
- ___Thunderbird
- Number of Inches Car is Off the Ground:
- ___6-8 inches
- ___4-6 inches
- ___2-4 inches
- ___Under 2 inches
- Car Paraphernalia:
- ___Gold chain around license plate
- ___Neon lights around license plate
- ___Neon lights under car
- ___Chippendales/Playboy air freshener hanging on rear view mirror
- ___Garter hanging from rear view mirror
- ___Chrome hubcaps
- ___Stick-on window tinting
- ___Stick-on paint splash stickers
- ___Fuzzy dice tattoo
- ___Crown deodorizer on dash or in rear window
- Favorite Sports Team:
- ___Fuckin' Giants
- ___Fuckin' Jets
- ___Fuckin' Mets
- ___Fuckin' Yankees
- ___Fuckin' Nets
- ___Fuckin' Knicks
- ___Fuckin' Devils
- ___Fuckin' Rangers
- ___Fuckin' Islanders
- Favorite Music:
- ___Techno
- ___Rap
- ___Bon Jovi
- ___Bruce Springsteen
- Favorite Actor/Actress:
- ___Joe Pesci
- ___Robert DeNiro
- ___Al Pacino
- ___Marisa Tomei
- ___Annette Funicello
- ___Anna Magnani
- Favorite Movie:
- ___The Godfather
- ___The Godfather Part II
- ___The Godfather Part III
- ___Goodfellas
- ___My Cousin Vinnie
- Favorite Profanity (proceeded by YO!):
- ___Motherfucker
- ___Cocksucker
- ___Jerkoff
- ___Scumbag
- ___Douche Bag
- # of Religious Statutes at Grandparents House:
- ___5-10
- ___10-15
- ___15-20
- ___20 and above
- Relatives Named "Sal"
- ___5-10
- ___10-15
- ___15-20
- ___20 and above
- Favorite International Destination:
- ___Belmar
- ___Seaside Heights
- ___Point Pleasant
- ___Bayonne
- ___Great Adventure
- ___Secaucus
- Favorite Driving Technique
- ___Tailgating
- ___Attacking stop signs
- ___Doing 106 mph on the right shoulder of the parkway
- ___Giving the finger to slow, elderly drivers (non-related)
- ___Giving the finger to slow, elderly drivers (own grandparents)