Make your own free website on Tripod.com

Jess' Stalker Application

Please fill out this form and answer all questions honestly and to the best of your ability. Otherwise your answers will not be honest or to the best of your ability. This form must be filled out in triplicate. Keep the top copy for yourself, send the middle copy to me and the third copy to the Travis Conty Police Department.

Name:

Address:

City:State:Zip:


If you are in a correctional institution and will be released soon, please indicate that here:
Yes, but I'm getting out soon! Um, I'm not up for parole until 2031!

Approximate hours you would be available to stalk me:

Do you have your own vehicle (stolen or not) and a valid Texas Drivers Licence?
Sure! I'm working on it.
Would you be able to stalk me on weekends & holidays?
Of course! What're you nuts?
Would you be able to work split shifts?
Uh, huh. No way!

Prior Stalking History
List last three stalkees.
Name:
Address:
City:State:Zip:

Name:
Address:
City:State:Zip:

Name:
Address:
City:State:Zip:

References: List three references
Name:
Address:
City:State:Zip:

Name:
Address:
City:State:Zip:

Name:
Address:
City:State:Zip:

Have you ever been convicted of a felony?
Uh, huh. No way!
If no, why not?

In 200 words or less describe why you should be allowed to stalk me.

Do you have any special stalking techniques or training?

List membership in any professional stalking organizations

Void where prohibited. All rights reserved, including the right to reproduce this application or portions thereof in any form whatsoever. The entire contents of this application are copyright 1999 by Jelbie Publishing and may not be reproduced in a any manner, either in whole or in part, without written permission from the publisher. Jelbie Publishing, its owner, heirs, agents, and assigns are released from any and all liability for damages or bodily injury against any property or person. This application is the same for each and every client, barring subsequent revisions. This application is only the basis for stalker evaluation. It is a practical tool, and is by no means a valid psychological test with any implications as such. It is the sole property of Jelbie Publishing, and is not to be removed from this web site. Only 5 calories.