The Universal Zulu Nation Application for Membership

First Name



Middle Name


Last Name


Nick Name


Address


City


State



Zip Code


Country


Phone #


Pager #


E-Mail Adress


Age


Birthday


Nationality


Occupation



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 you attend?


4. What grade are you in?


5. What are your favorite subjects and your strong points
as far as academi achievevments?



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?



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?


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?



28. Do you have children?
Yes No



29. How many children?



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