My Date of Birth:
(____/____/19____) |
My Age:
(______) |
My Marital Status:
(S.) (Sep.) (D.) (M.) |
My Weight:
(_____) |
My Height:
(___'___") |
My Eyes:
(Brown) (Green) (Blue) (Black) (Gray) (Hazel) (Other___________) |
My Hair:
(Brown) (Black) (Gray) (Blond) (White) (Alburn) Ash-Blond) (Salt&Pepper) (Other________) |
My Race:
(Afri./Amer.) (Mexican) (Mex./Amer.) (Spanish) (Span./Amer.) (Oriantal) (Orian./Amer.) (Indian) (Amer./Indian) (Cauc.) (Other) |
My Birth Place:
(_______________) |
My Release Date:
(___/___/20___) |
My Gender:
I am (M) (F) (Other______) |
I Love Holidays?
(Yes)
Or
(No) |
Number of Years I was Sentenced:
(______) |
My Parole Date is:
(____/____/20____) |
Education I finished:
(GED=H.S.) (High school Diploma=H.S.D.) (College=any time in college) (Trade) (Other_______) |