6. Church affiliation of applicant Father
Mother Wife

7. Were you ever married? Wife Living?

8. Occupation

9. Can you read and write the English language?

10. Have you ever been convicted of crime?

11. Have you made application for citizenship to the United States?

12. Give date In what Court?
State County

13. Give full particulars

14. Were first papers granted? Were second papers granted?

15. If you were denied citizenship, upon what ground were you denied?

16. Do you here and now make solemn promise to become a naturalized citizen of the United States as soon as possible, and are you willing to renounce all foreign, civil, political and ecclesiastical authority?

17. Do you here and now covenant to comply with and actively support the Constitution of the United States, Constitution of the State in which you now reside or in which you may hereafter reside and all the laws thereof?

18. Have you heretofore made application for membership in the American Krusaders?
If so, where When

19. Will you, if elected to a membership in the American Krusaders, use your best endeavor to promote unselfishly the interest and objects of the American Krusaders?