GREATER LOS ANGELES AREA DRIVER'S LICENSE APPLICATION:

Name: ________________________ Stage Name: ________________________
Agent: ________________________ Attorney: ________________________
Therapist's Name: ________________________    

 

Sex:

Male Female Formerly Male Formerly Female Both

* If female indicate breast implant size: ___________

Will the size of your implants hinder your ability to safely operate a motor vehicle in any way?

Yes No


Please list brand of cell phone: ________.
*If you don't own a cell phone, please explain:________________________.

Please check hair color:
Females:

Blonde Platinum Blonde

Teenagers:

Red Orange Green Purple Blue Skinhead

Please check activities you preform while driving (check all that apply):

Eating
Drinking Starbucks coffee
Applying make-up
Shaving (male or female)
Talking on the phone
Slapping kids in the back-seat
Applying cellulite treatment to thighs
Tanning
Watching TV
Reading Variety
Surfing the net via laptop
Discharging firearms / Reloading
  X  Snorting cocaine (already checked for your convenience)
  1. Please indicate how many times
    1. you expect to shoot at other drivers _____
    2. how many times you expect to be shot at while driving _____

  2. If you are the victim of a carjacking, you should immediately:
    1. Call the police to report the crime.
    2. Call Channel 9 News to report the crime, then watch your car on the news in a high-speed chase.
    3. Call your attorney and discuss lawsuit against cellular phone company for 911 call not going through.
    4. Call your therapist.

  3. In the event of an earthquake, you should :
    1. stop your car
    2. keep driving and hope for the best.
    3. immediately use your cell phone to call all loved ones.
    4. pull out your video camera and obtain footage for Channel 9.


  4. In the instance of rain, you should:
    1. never drive over 5 MPH.
    2. drive twice as fast as usual.
    3. you're not sure what "rain" is.


  5. Are you presently taking any of the following medications?
    1. Prozac
    2. Zovirax
    3. Lithium
    4. Zanax
    5. Valium
    6. Zoloft
    7. All of the above
    8. None of the above. (If none, please explain:_________________)

  6. Length of daily commute:
    1. Less than 1 hour
    2. 1 hour
    3. 2 hours
    4. 3 hours
    5. 4 hours
      If less than 1 hour please explain:_____________

  7. When stopped by police, you should:
    1. pull over and have your driver's license and insurance form ready.
    2. try to outrun them by driving the wrong way on the 405 Freeway.
    3. have your video camera ready and provoke them to attack, thus ensuring yourself of a hefty lawsuit.


  8. When turning, you should always signal your intentions by:
    1. using your directional signals.
    2. what is a "directional signal"?


  9. Which part of your car will wear out most often?
    1. the wiper blades
    2. the belts
    3. the horn


  10. The "bright" setting on your headlights is for:
    1. dark, poorly lit roads
    2. flashing to get the car ahead to move out of the way
    3. revenge!


  11. Your rear view mirror is for:
    1. watching for approaching cars
    2. watching for approaching police cars
    3. checking your hair

  12. Please indicate number of therapy sessions per week: ______.
 

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