324 SOCIAL DISEASES AND 



......................... Coj ps. 



........................... Division. 



........................... 18 



(SINGLE) 

 FORM OF APPLICATION 



FOR AN APPOINTMENT AS AN 



OFFICER IN THE SALVATION ARMY 



Name ..................................................... 



1 . What was your AGE last birthday ? ............... What is 



the date of your birthday ? ....................................... 



2. What is your height ? .............................................. 



3. Are you free from bodily defect or disease ? ............ ...... . . 



4. What serious illnesses have you had, and when ? ............ 



5. Have you ever had fits of any kind ? ..................... I f so 



how long ago, and what kind ? ................................. 



6. Do you consider your health good, and that you are strong 



enough for the work of an Officer ? .................. If not, 



or if you are doubtful, write a letter and explain the 

 matter. ............................................................... 



7. Is your doctor s certificate a full and correct statement so 



far as you know? ...................................... ......... 



8. Are you, or have you ever been married ? ........................ 



