Gold Fame Citrus (18 page)

7. TO YOUR KNOWLEDGE DOES THE APPLICANT HAVE ANY ADDICTIONS? MARK ALL THAT APPLY:

• ILLEGAL DRUGS
  
• PRESCRIPTION DRUGS
  
• OVER-THE-COUNTER DRUGS
  
• ALCOHOL
  
• GAMBLING
  
• INTERNET
  
• PORNOGRAPHY
  
• FANTASY SPORTS LEAGUES
  
• MASSIVE MULTIPLAYER ONLINE ROLE-PLAYING GAMES
  
• SHOPPING
  
• SEX
  
• OTHER
  
• IF OTHER PLEASE SPECIFY: _________________________________
  

8. HAVE YOU EVER HEARD THE APPLICANT CRITICIZE THE FEDERAL GOVERNMENT FOR ANY OF THE FOLLOWING? MARK ALL THAT APPLY:

• FISCAL RECKLESSNESS
  
• DISTRIBUTION OF WEALTH
  
• HUMAN RIGHTS—DOMESTIC [RACE]
  
• HUMAN RIGHTS—DOMESTIC [CLASS]
  
• HUMAN RIGHTS—DOMESTIC [GENDER]
  
• HUMAN RIGHTS—DOMESTIC [DISABILITY]
  
• HUMAN RIGHTS—DOMESTIC [SEXUALITY]
  
• HUMAN RIGHTS—DOMESTIC [REGIONALISM]
  
• HUMAN RIGHTS—DOMESTIC [OTHER]
  
• HUMAN RIGHTS—FOREIGN [AFRICA]
  
• HUMAN RIGHTS—FOREIGN [ASIA]
  
• HUMAN RIGHTS—FOREIGN [EASTERN EUROPE]
  
• HUMAN RIGHTS—FOREIGN [SOUTH AMERICA]
  
• HUMAN RIGHTS—FOREIGN [CENTRAL AMERICA]