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   OLNEY PARANORMAL INVESTIGATION

                                  APPLICATION FORM

THANK YOU FOR CHOOSING O.P.I.  WE ARE DELIGHTED THAT YOU HAVE DECIDED TO JOIN US IN RESEARCHING AND INVESTIGATING THE PARANORMAL.  PLEASE FILL OUT THE FORM BELOW TO BE KEPT IN A CONFIDENTIAL FILE.


DATE________


NAME:      FIRST_____________ MIDDLE___________ LAST__________


AGE:______    DOB:__________


PHONE: HOME_____________ CELL_____________ OTHER_________


BEST TIME TO CALL: ___________


EMERGANCY CONTACT NAME: _______________ NUMBER ________


E-MAIL ADDRESS: __________________________


LIST ANY MEDICAL CONDITIONS WE SHOULD BE AWARE OF:

____________________________________________________________


LIST ANY MEDICATIONS WE SHOULD BE AWARE OF:

____________________________________________________________


HAVE YOU EVER BEEN CONVICTED OF A FELONY IN THE LAST 2 YEARS: ________


WHY DO YOU/YOUR ORGANIZATION/GROUP WANT TO BE PART OF OLNEY PARANORMAL? ____________________________________________________________________________________________________________________________________________________________________________________


WHAT CAN OLNEY PARANORMAL DO FOR YOU? ____________________________________________________________________________________________________________________________________________________________________________________


DO YOU GIVE PERMISSION TO USE YOUR PHOTOGRAPH OR PICTURE YOU MAY HAVE TAKEN ON OUR WEBSITE? _________


HAVE YOU EVER HAD ANY PARANORMAL EXPERIENCES AS AN INDIVIDUAL OR AS A GROUP ________ (IF YES EXPLAIN) 

____________________________________________________________________________________________________________________________________________________________________________________


SIGNATURE _______________________________________