Application for Membership

in the

Llano del Rio Cooperative Colony

Only industrious men and women of high ideals and constructive ideas with reputations of good citizenship are desirable members of the LLANO DEL RIO CO-OPERATIVE COLONY. If you are willing to put your whole ability and spirit into this enterprise, to work in harmony with your fellow co-operators, and to abide by the rules adopted, you will be cordially welcomed as part of this noble enterprise.

Name of applicant
Address
City State
Am't of Contract Amt 1st P'm't
Balance to be paid how
When
Payment received by
Payments to be made
Mail Agent
Approved by LLANO DEL RIO COMPANY of Nevada
By
Date Approved Date of Application

I offer as references of my good character and ability the following persons: (If you can give a farmers' union or labor union officer, do so. Give at least three names)

Name		            			Occupation 		            		Address

READ THIS CAREFULLY ---- It is understood that if this application is rejected, the initial payment which accompanied it is to be returned at once. Any false statements made in this Application for membership will be considered sufficient grounds for canceling contracts issued on representations made herein.

Full name in your own handwriting
R. F. D.; P. O.; Street State

Where born Age Height Weight Married

Give names, ages, relationship to you, state health of those who will come with you; tell if workers or not:

Names Age Worker? How related? Bad health or infirmaries?

HEALTH

Are you strong and able bodied? If you have had any ailments or infirmities, state all of them here:

(If you have rupture or rheumatism, muscular weakness, nervous afflictions, etc., it must be stated. Your value as a member will be judged from the statements you make here.)

OCCUPATION

In the first column state professions or trades with which you are thoroughly familiar and at which you can work at the general standard demanded. In the second place those of which you have some knowledge and at which you have worked. In the third place those at which you prefer to work or those you wish to learn.


Proficient at	     Time Experienced          Can work at 	        Preferred

If there are others coming on your membership who have special training or ability and will work, state:

EMPLOYMENT

Since the age of 18, what have you worked at most?

At what line of work have you had the most preparation and training?

Check every line of work at which you have been employed or of which you have some knowledge in this list:

__ Accountant __ Auto Mechanic __ Boiler Maker __ Caterer __ Cleaner and Dyer __ Engineman __ Cook __ Actor __ Baker __ Brick Mason __ Chauffeur __ Artist __ Farmer __ Cooper __ Concrete Worker __ Barber __ Butcher __ Chemist __ Confectioner __ Draftsman __ Fireman __ Auditor __ Blacksmith __ Carpenter __ Civil Engineer __ Electrician __ Foundryman __ Construction Man __ Machinist __ Telephone Man __ Nurse __ Plumber __ Tailor __ Teamster __ Sheetmetal Worker __ Vulcanizer __ Painter __ Plasterer __ Shoemaker __ Photographer __ Welder __ Pharmacist __ Stenographer __ Undertaker __ Veterinarian __ Surveyor __ Printer (state branch) __ Teacher (state subjects) __ Woodworker (state kind) __ Musician (state instrument) __ Instrument maker, repairer (kind) __ Foreign Languages (which) MISCELLANEOUS __________

In your opinion at which work were you most successful?

Which paid you best? Which did you enjoy most? Why?

Along what line would you like more training?

What kinds of work must you avoid because of injury or ill-health?

Are you willing to work at jobs you don't like until opportunity for agreeable work is presented?

GENERAL QUESTIONS

Do you believe in the profit system?

Is it right to take or receive interest?

Do you believe that the Golden Rule, (Do unto others as you would be done by) is sufficient for rule of personal conduct?

What should be done with an article that was definitely lost by someone?

Do you understand the present economic system, if not are you willing to learn if admitted to colony?

Will solving the economic problem ultimately lead to solving the social problem?

What is the character and quality of your reading?

Do outside circumstances or conditions determine human conduct alone?

Do states of mind have beneficial or harmful effect upon physical health?

Is happiness a state of mind or dependent upon affluent material conditions?

Does the peace and tranquility of the of the community depend on mutual respect and kindness of heart of its members?

Do you believe in a peaceful settlement of ALL misunderstandings?

Have you an understanding of the causes responsible for the existing social and economic conditions?

Do you believe that freeedom can be had only thru the acceptance of responsibility?

What is your idea of social power?

Do you feel that you could adjust yourself peacefully, harmoniously, and industriously within such a group as we have here in Llano Colony?

Which is harder to solve: the Economic or the Social problem?

Along what lines do you desire further education?

Are you willing to abide by the rules and laws of the Colony as adopted by general usage?

What reasons chiefly influenced you in taking out a membership? (Please answer fully)

When do you expect to come to the Colony?

INVESTMENT

Are you able to pay cash for your membership? If not, how will it be paid?

Have you property you wish to sell? Would you wish to invest the proceeds?

If the opportunity offered you to loan certain sums in addition to your membership, the security being satisfactory, would you make such loans? What sum? How soon?

WHAT WILL YOU BRING WITH YOU?

Piano? Stoves? Auto? Beds? Bedding?

Tables? Carpenter Tools? Musical instruments? Cupboards?

Other tools? Other Items?

REMARKS

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