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The Universal Zulu Nation Application for Membership

First Name __________________________M._____ Last Name _________________________



Nick Name ________________________________

Address ________________________________City___________ State ______Zip
Code_________

Country: _________________________________

Phone # ( ) -_____________

Mobile # ( ) -_____________

E-Mail Address: ________________________________________

Age: _________

Life Date (mm\dd\yy): ______________________________________

Nationality: _______________________________________

Occupation: ________________________________________________



This Section to be filled out by the applicant at his or her own risk.



Section 1.


1. Why do you want to become a member of the Universal Zulu Nation?


2. What do you know about the Universal Zulu Nation?


3. What School do or did you attend?


4. What grade are you in?



Section 2.

5. What are your favorite subjects and your strong points as far as academic achievements?



6. What are your hobbies and / or your interests?


7. What skills do you have to offer the Universal Zulu Nation?



8. What ideas could you contribute to the Nation?



9. What occupation do you wish to have as a career?


10. What do you feel are best assets that will help the Universal Zulu Nation?


11. What is opinion of honesty?


12. What is your opinion of loyalty?


13. What is your opinion of prejudice?


14. What is your opinion of drug / alcohol abuse?


15. What is your opinion on violence?


16. What do you feel are the benefits you will receive from being a member of the Universal
Zulu Nation?












Section 3.

17. How do you think you could help your community and society, by being a member of the
Universal Zulu Nation?


18. In your opinion, what would make you a success in life?


19. What do you think is the best way to gain respect?


20. What do you feel your culture brings to your community and to society?


21. What do you think your culture could bring to the Universal Zulu Nation?


Section 3b.

22. What is your opinion on self-defense?


23. Have you ever studied self-defense? Yes No


24. What style?


25. How long?


26. Did you achieve a rank?


27. How high?



Section 3c

28. Do you have children? Yes No

29. How many children?

30. In detail, give a personal opinion of yourself: