MEMBERSHIP APPLICATION
Name_____________________________Nickname_________________________
Address____________________________________________________________
City/State________________________________________Zip________________
Telephone # home___________________________work_____________________
pager____________________
Age_____Birthdate____________Nationality______________________________
Occupation_________________________________________
1. Why do you want to become a member of the Universal Zulu Nation?___________
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2. What do you know about the Universal Zulu Nation?_______________________
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3. What school do you attend?__________________________________________
4. What grade are you in?______________________________________________
5. What are your favorite subjects and your string points as far as academic achievements?______________________________________________________
6. What are your hobbies and/or your intrests?______________________________
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7. What skills do you have to offer the Universal Zulu Nation?__________________
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8. What ideas could you contribute to the Nation?___________________________
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9. What occupation do you wish to have as a career?_________________________
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10. What do you feel are your best assest that will help the Universal Zulu Nation?_
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11. What is your opinion of honesty?_____________________________________
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12. What is your opinion of loyalty?______________________________________
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13. What is your opinion of predjudice?___________________________________
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14. What is your opinion of drug/alcohol abuse?_____________________________
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15. What is your opinion on violence? ____________________________________
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16. What do you feel are the benefits you will receive from being a member of the Universal Zulu Nation?________________________________________________
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17. How do you think you could help your community and society by being a member of the Universal Zulu Nation?___________________________________________
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18. In your opinion, what would make you a sucess in life?____________________
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19. What do you thinnk is the best way to gain respect?______________________
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20. What do you feel your cultue brings to your community and to society?________
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21. What do you think your culture could bring to the Universal Zulu Nation?______
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22. What is your opinion on self defense?_________________________________
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23. Have you ever studied self - defense?__________
24. What style?______________________________
25. How long?_______________________________
26. Did you achive a rank?______________________
27. How high?_______________________________
28. Do you have children?______________________
29. How many?______________________________
30. In detail, give a personal opinion of yourself:____________________________
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Please Print This Form Out After You Have Filled It Out. Mail this form along with a certified check or money for $25 (membership fee) and three passpart pictures.
Annual Dues $25
Mail To:
The Universal Zulu Nation
PO BOX 510
Bronx, NY 10475 U.S.A.
Allow 6-8 weeks for processing