---Personal Information---
First Name: Michael
Last Name: Clarence
Gender: Male
Age: 21
Date of Birth: September 02, 1993
Race: White
Phone Number:
Place of Birth: Britain
Place of Residence: The Jefferson Motel
---General Questions---
Do you possess a Vehicle License?: Yes
Has your Vehicle License ever been revoked?: No
Do you have any medical conditions, mental or physical disabilities? If yes, please describe: N/A
Are you currently taking any medication? N/A
Have you ever been arrested? If so, please describe: N/A
Have you ever been questioned by Law Enforcement? Please describe: N/A
Have you ever been admitted to a mental institution or psychiatric ward? N/A
Have you ever tried to commit suicide? N/A
Have you ever had suicidal thoughts? N/A
Please describe why you want your weapons permit: I would like to obtain a weapon license so that I may carry around a firearm with me at all times, in case i get attacked, as I am a trucker so I'm on the road 24/7, you never know when something horrible might happen.
Please note that after your application gets processed you must meet with our licensing officer for fingerprinting.