Geez...You know I had too...

NAVAJO RESERVATION DRIVER'S LICENSE APPLICATION



First Name________________

Last Name:

( ) Atcitty

( ) Begay

( ) Begaye

( ) Benally

( ) Nez

( ) Yazzie



Age:____(if unsure, guess)

Sex:____M______F_______Not sure



Shoe Size:______Left______Right



Tribal Clothing Jacket Size:________



Occupation:

( )Spring Sheepherder

( )Summer Sheepherder

( )Fall Sheepherder

( )Winter Sheepherder

( )Unemployed

( )Dirty politician



Spouse's Name:________________

2nd Spouse's Name:______________

3rd Spouse's Name:____________



Relationship with spouse:

( )Best friend's wife

( )Best friend's sister

( )Don't remember

( )It just happened

( )Which one....



Lover's Name:___________

2nd Lover's Name:___________



Number of children living in household:_____

Number of children living in shed:________

Number of children that are yours:_________



Mother's Name:________

Father's Name:_________

(if not sure, leave blank)



Education:1st; 2nd; 3rd; 4th (Circle highest

grade completed)

Do you ( )own or ( )rent your mobile home? (Check

appropriate box)



___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

___Number of vehicles with a water tank



Firearms you own and where you keep them:

___truck

___bedroom

___outhouse

___kitchen

___shed



Model and year of your pick-up:___________ 194_

Do you have a gun rack?

( )Yes ( ) NO; If no, please explain:



Newspapers/magazines you subscribe to:

( ) Navajo Times

( ) Gallup Independent

( ) Navajo/Hopi Observer

( ) Buckle Bunnies

( ) NFR



___Number of times you've seen a Navajo Nation

president

___Number of times you've seen a NN president with a

woman

___Number of times you've seen a NN president with

numerous women



How often do you bathe:

(if no running water, you may still respond)

( )Weekly

( )Monthly

( )Not Applicable



Color of teeth:

( )Yellow

( )Brownish-yellow

( )Brown

( )Black

( )N/A



Brand of alcohol you prefer:

( )T-Bird

( ) G-D



How far is your home form a paved road?

( )1 mile

( )2 miles

( )don't know