C-2 REV 01 (white) - The Salvation Army USA (Southern Territory)

FAMILY HISTORY1. Father’s name Birthplace Date of birthCityState2. Mother’s maiden name Birthplace Date of birthCityState3. Person to notify in case of emergencyAddress City State Zip Phone No. ( )4. Of what church is your father a member? mother?5. Do you have any Salvation Army officer-parents or relatives? If so, give names and relationshipMARITAL STATUS6. Present marital status: married, single, divorced, marriage annulled, widowed(attach certified copy of papers for marriage)MarriedDate Place Wife’s maiden nameAre you, or have you ever been, divorced?Date(s) & place(s)Have you ever had a marriage annulled?Date(s) & place(s)Are you, or have you ever been, a widow or widower?Date7. (a)WOMAN CANDIDATE: Have you, or have you ever had, any children?(b)MAN CANDIDATE: Have you, or have you ever fathered, any children?Names of Children Birthdate Sex8. (a)Have you adopted any children? (Certified copy of adoption papers to be attached.)(b)Have you read, do you understand, and will you abide by the regulations on page 10 regarding the adoption of children?9. (a)Have you read, do you understand, and will you abide by the regulations regarding engagement and marriage as listed on page 10 ofthis form?(b)Are you engaged or dating with a possible view to engagement?His/her nameDate of birthIs he/she a soldier? How long? FOF member?Candidate? Year planning on entering College for Officer Training? Officer?Have you discussed this with your corps officer?Date?3