Application For Membership
In the Erisian movement of the DISCORDIAN SOCIETY
1. Today's date
2. Purpose of this application/membership in:
Legion of Dynamic Discord
All of the Above
None of the Above
Other-- BE SPECIFIC!
(If temporary, also give an address from
which mail can be forwarded)
Last time you had a haircut:
Education - highest grade completed
Professional: On another ream of paper list every job since 1937 from which you have been fired.
Medical: On a separate sheet labeled "confidential", list all major psychic psychotic episodes experienced within the last 24 hours.
6. Sneaky questions to establish personality traits
I would rather
live in an outhouse
play in a rock group
I wear obscene tattoos because
I have ceased raping little children :-
7. Self Portrait
For Office Use Only -- acc/rej/burned