Address: __________hut, shack, tent ____________village ____________ province _________empire

Occupation: __bass fishing __catfish fishing __tilapia fishing __walleye
fishing __tax-collecting __banditry __carpentry (houses, furniture)
__carpentry (crosses) __farming _____other

Class: __desperately poor __dirt poor __poor __poor but proud

Ethnicity: __Jew __Gentile

Family Status – check or fill all that apply:

__married, one wife __married, two wives __married, 3 or more wives
__eldest brother __2nd or lesser brother __mother still living and
kvetching that you don’t come home often enough __ # of children

Do you keep kosher? __yes __ no If yes, really? __yes __no

Hobbies: __fishing __other

Political Affiliation: __Pharisee __Sadducee __Zealot If Zealot,
which faction? __People’s Front for the Liberation of Israel __Front for
the People’s Liberation of Israel __Revolutionary People’s Front for the
Liberation of Israel __Front for the Revolutionary Liberation of Israel
__Peasant’s Front for the Salvation of Israel __Peasant’s Party for the
Violent Overthrow of the Roman Empire __other faction

Medical Status: __lame __blind __leper __resurrected
__demon-possessed ___________other

Education: __Bar Mitzvah __Hanging out in synagogue/temple __School of hard knocks _______other

Have you ever been someone else’s disciple? __yes __no

If yes, reason for defecting: ___________________________

Have you ever loved your enemies before? __yes __no __are you crazy?
__am willing to try

Have you ever performed any of the following miracles:

__walking on water __ healing lepers __healing the blind __turning water
into wine __multiplying loaves/fishes __resurrecting dead people
__pulling money out of fishes’ mouths __no, but am willing to try any/all of
the above

Ever offered forgiveness to someone who harmed you? __yes __no __I still hate that @*!)**?!!@ __am willing to try to forgive

Have you ever been persecuted for righteousness’ sake? __yes __no If
yes, describe persecution:______________________ Are you ready for more? __yes __no

Do you have transportation: __sandals __walking stick __camel __ox __ass __boat

Are you literate? __yes __no __kinda

If not, provide name and address of person who assisted you in
filling out this form: ________________________

Please deliver this completed form to: Simon, aka “Peter”, Director of
Personnel and Recruitment.

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