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Bogus NAACP application
MEMBERSHIP APPLICATION
FOR THE
NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE
(NAACP)
NAME __________________________________________________________
(list all of the names you have gone by)
ADDRESS _______________________________________________________
(If living in automobile, give name, model and licence no.)
If you make payments on more than one automobile, check the
appropriate boxes: [ ] Cadillac [ ] Lincoln [ ] Imperial
Color of automobile (check one): [ ] White [ ] Pink
[ ] Lavender [ ] Chartruese [ ] primer {any kind}
Father's name (if known)________ Muvva's name (if known)_______
Number of illigitimate children (if known) _____
Number of children claimed for relief check ____
Marital status (check one): [ ] shack up [ ] more than one wife
[ ] kept by white broad [ ] stud for relief check broads
Give approximate estimate of income: from theft__________
from relief__________ from unemployment__________
from stud fees__________ other sources__________
Place of Birth (check one): [ ] cotton field [ ] back alley
[ ] free clinic [ ] back seat of car [ ] vacant lot
[ ] other
List White schools you would like to attend____________________
(use back of form if necessary)
Can you list any of the following as references? [ ] Pat Brown
[ ] Ed Sullivan [ ] M. Luther King [ ] A. Clayton Powell
[ ] Robt. Kennedy [ ] Ted Kennedy [ ] ANY Kennedy?
Occupation wanted: [ ] Civil Service Job [ ] Preacher
[ ] Cabinet Job [ ] Attorney
Other Abilities: [ ] Agitator [ ] Block Breaker
[ ] Sit-In Demonstrator
List any serious illness experienced during the last five years:
(other than V.D.) ______________________________________________
PLEDGE
AH BELIEVES in equality, and dat us Niggers is better than White
Folks is, and dat White Folks should pay more taxes than us
Niggers should, and us Niggers should have more welfare and
relief; and now dat we has da Supreme Court and da U.S. Army
(including da National Guard) on our side, da laws should not be
changed no more no how. Ah promises to praise da Supreme Court,
and not to snicker (too loud) when White Folks start crying over
how dey is persecuted. Ah pledges dat if Ah go to dat great
city, Washington DC, Ah will picket da White house until dey
change da name so dat dey is equal. Ah KNOWS MY RIGHTS!
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