Southern States Paranormal Research Society

Application for Membership

NOTE: PLEASE READ OUR RULES AND CONSTITUION PRIOR TO APPLYING!!

Part 1: Personal Information/Contact Methods:

Full Name: (First, Middle, Last):

Age:

Birthdate:

Address: ( No PO Boxes Please )

Telephone Number ( Area Code First)

(      )-      -

Cell Phone Number (If you have one):

(      )-      -

Email Address:

Messengers:

Yahoo! Instant Messenger

(YES or NO. If yes, please LIST any ID's you wish to be contacted on:

AOL Instant Messenger

Part 2: Education:

Elementary School:

Middle School:

High School:

Graduated From High School: Yes/No:  

Date Of Graduation:

GPA:

College: ( If Applicable):

Major:

Current GPA:

Part 3: Employment:

Employer/Current Place of Employment:

Address Of Employer:

Employer’s Phone Number:  (    )-   -

Job Title:

Direct Supervisors First and Last Name:

How long have you held this Job?:

May We contact your employer for a reference?:

If not, why:

Have you ever held a position of trust?:

Describe:

Part 4: References: Please List 3 References That We May Contact

(please gain permission from the person listed before listing them and notify them they may be contacted. Do not include spouses. ).

Name:

Phone Number:

Relationship:

Name:

Phone Number:

Relationship:

Name:

Phone Number:

Relationship:

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• If You have any other obligations, Please list them below:

• Tell us what you can do, special skills, talents, knowledge, that would be beneficial to this team and our goals? IE, Camera Skills, electronics, computers, etc.

• What is your interest in the Paranormal?

• On a scale of 1 – 10, with 1 being the lowest and 10 being the highest, how skeptical do you rate yourself? Be honest. Why do you rate yourself this way?

• Would you have any difficulties working on a team of people that is diverse and different? IE, would you have any problems working on a team that has multiple belief systems, or races?

• Do you have an Internet connection? If so, how many hours are you online a week? What would be the best times to email or contact you via messengers?

• Do you have reliable transport?

• Can you attend meetings on a weekly or biweekly basis?

• Could you attend online meetings and conferences?

• Our team usually works very late hours when conducting an investigation and meetings, with the average investigation lasting from 9pm to 4 am. Would this be a problem?

• Please list ALL medical conditions or medications being taken that could potentially cause an issue while on investigations aka seizures, panic attacks, asthma, etc. (We need to know this information in case you begin having symptoms in the field so we can help you faster and better!)

• Do you have /feel you have any psychic abilities? If so, please describe to the best of your abilities:

• Lastly, do you have anything else you wish to add that we may have overlooked in this application form that you believe to be of significance? If so, please describe:

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Have you read the Rules of Organization made available on our webpage? If not, please do so immediately. After you have read them, do you agree to follow those rules and do you understand them? If at any time you violate those rules, your dismissal from the team will occur. Sign below where appropriate.

Have Read and Agreed With the Rules of Organization:

Name:

Date:

I have read and understand and agree to abide by the Rules of Organization of SSPRS.

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Have Not Read/Do Not Agree With the Rules of Organization:

I have read and understand and do not agree with the Rules of Organization of SSPRS and forfeit my application now.

Name:

Date:

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By submitting this application, I hereby swear under penalty of dismissal from SSPRS that all the information I have provided on this application form is true to the best of my knowledge, and forgery or falsifying information on this application will result in my dismissal and barring from future application from and to SSPRS.

Thank you for applying for membership with SSPRS! We will review your application and be back with you as soon as possible.