STUDENT APPLICATION FORM
DATE ___2/18/2007________ PRINT THIS FORM AND MAIL WITH A CHECK FOR $100 TO:
REGISTRAR IASHS, 1523 Franklin Street, San Francisco CA 94109
LAST NAME Page | FIRST Rodney | MIDDLE Jerome |
HOME ADDRESS | CITY/STATE/ZIP | BIRTHDATE 8/28/1962 |
Kennedy Arms Condos | Jersey City, Nj 07305 | |
WORK ADDRESS | CITY/STATE/ZIP | SOCIAL SECURITY NO. |
088-58-3417 | ||
HOME PHONE | WORK PHONE | OTHER IDENTIFICATION NO. |
FAX NUMBER | CELL PHONE | EMAIL ADDRESS |
Degree or Certificate Program for which you are applying: _________________________________________________
You May have Continous Sex with the Following Sex Partners at a location of you choosing for as long
as you wish. Any and all desires will be provided:
Pamela Anderson,Denise Ricards,Neve Cambpell, Christina Applegate, Cameron Diaz, Salma Blair, Britney Spears, Jenna Jameson, Brianna Banks, Aja, Nikki Randall, Nikki Charm, Lois Ayers, Rebecca Romijn,Doly Parton, Raquel Welch,Ann Margaret,Jennifer Mccarthy,Sharon Stone, Madonna,Rosie Perez,Christina Ricci,Alicia Silverstone,Halle Berry,Juliet Anderson, Tracey Adams, J.R. Carrington,Sheri St. Clair, Bunny Bleu,Barbara Dare,Jill Kelly,Ashlyun Gere,Jessie St. James, Seka,Rahcel Ryan, Keisha,Taija Rae,Linda shaw,Alicia Rio,Angela Summers,Bianca Trump, Blake Mitchell,Becky Sunshine, Angela Baron,Blondi,Bridgette Kerkove, Bridgette Monet,Chasey Lain,Sophia Ferrrari, Air Force Amy, Dascha,Devon,Gloria Leonard,Hyapatia Lee, Isis Nile, Sophia Ferrari, Jacklyn Lick, Nina Hartley, Janine,Jade East,Jenna Fine, Nikki Knights,Johnni Black,Kimberly Kupps, Nicole Lace,Sally Layd,Tera Heart,Trinity Loren,Viviana,Zara Whites. Plus additions to be named later.
EDUCATIONAL EXPERIENCE COLLEGE/ UNIVERSITY
YEARS | DEGREE | |
Brocktport State University 77.Credits | ||
EMPLOYMENT EXPERIENCE
EMPLOYER | YEARS | TITLE/POSITION DESCRIPTION |
Digital Jetta Inc. CEO
Guga Stuart For the love of god |
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