Southern States Paranormal Research Society

Application for Membership

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

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:_____________(ID)

AOL Instant Messenger:_______________(ID)

Education:

Elementary School:____________________________

Middle School:________________________________

High School:__________________________________

Graduated From High School?___________

Date Of Graduation:____________________

GPA:___________________

College: ( If Applicable):________________________________

Major:___________________________________

Current GPA:_________________________

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?:___________________

Have you ever held a position of trust?:_____________________

Describe:_________________________________

_________________________________

_________________________________

Please List 3 References That We May Contact:

Name:

Phone Number:

Name:

Phone Number:

Name:

Phone Number:

******************************

• 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.
• 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 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:

************************

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.

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

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

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. I have also read and swear to abide by the Rules of Organization.

______________________________________________________

Signature of Applicant Date

Thank you for applying for membership with SSPRS! We will review your application and be back with you within 48 hours!