324 SOCIAL DISEASES AND 



. Corps. 

 . Division. 

 .18 



(SINGLE) 

 FORM OF APPLICATION 



FOR AN APPOINTMENT AS AN 



OFFICER IN THE SALVATION ARMY 



Name 



Address... 



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 ? Ifso 



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 ? 



