1. Are you currently a United States Citizen?   Required

Have you ever renounced your U.S. citizenship?   Required

2. Are you a non-immigrant (temporary admitted) alien?   Required

3.  Have you ever been convicted of or pled guilty to any offense involving or court-martial charge involving the unlawful possession or use of a controlled substance or dangerous drug within the past five years or served any potion of incarceration or probation for use or possession of a controlled substance within the past five years?   Required

If yes and the foregoing conviction was for a misdemeanor drug offense, have you also within the past five years been convicted of, or served any portion of incarceration or probation in that time for a second misdemeanor drug offense involving use or possession of a controlled substance, unlawful manufacture or distribution of a controlled substance or dangerous drug, or of unlawful possession or shipping of a firearm, or had a weapon carry license revoked within the last 3 years?   Required

4.  Have you ever been convicted of, or pled guilty to, any misdemeanor crime involving the use or attempted use of physical force or threatened use of a deadly weapon tweards (a) anyone as to whom at the time of the offense you were a current or former spouse, parent or guardian or similarly situation to a spouse, parent or guardian, (b) a person with whom you had a child in common, or (c) a person you lived with or had lived with as a spouse, parent or guardian or similarly situation to a spouse, parent or guardian, including but not limited to a girlfriend, boyfriend, step-child, foster child or ward?   Required

5.  Have you ever been convicted of or pled guilty to any felony offense punishable by a term of imprisonment over one year, including the conviction by a court-martial under the Uniform Code of Military Justice for an offense which would constitute a felony?   Required

6.  Have you ever been convicted of or pled guilty to any offense arising out of the unlawful manufacture or distribution of a controlled substance or dangerous drug?   Required

7.  Have you ever been convicted of or pled guilty to carrying weapon without a weapons carry license, or carrying a weapon or long gun in an unauthorized location?   Required

If yes, have you served any portion of incarceration or probation for such firearms offense in the past five years or had any conviction or guilty plea within the past five years?   Required

8.  Are you under current indictment or information (formal charges) for a crime punishable by imprisonment for a term exceeding one year?   Required

If yes, do the pending charges involve or arise out of any felony, any crime that is possibly punishable by imprisonment for over one year, or any misdemeanor or involving force or violence, or any offense or conduct involving a weapon or any offense involving a controlled substance or other dangerous drug?   Required

9.  Have you left any state or any foreign jurisdiction to avoid criminal prosecution, to avoid testifying in any criminal proceeding, or knowing that charges are pending against you?   Required

10.  Have you tested positive for drugs in the past year, admitted to having used drugs within the past year, or been arrested more than once in the last five years with the last arrest having been in the past year for any offense arising out of the unlawful possession, manufacturing, distribution or use of a controlled substance or other dangerous drug?   Required

11.  Do you use any controlled substance or illegal drug other than as prescribed by a licensed physician, or have you done so within the past year, or regularly used any such drug within the past five years?   Required

12.  Are you addicted to or have you lost self-control over any controlled substance or drug?   Required

13.  Are you, or have you ever been, subject to any court order (including but not limited to restraining orders, protective orders, peace bonds & good behavior bonds) restraining you from harassing, stalking, threatening, engaging in communication with, or refraining in any manner from contact with or coming in proximity to any current or former spouse, any person with whom you have a child in common, or person with whom you live or lived while in a sexual relationship?   Required

14.  Have you ever been dishonorably discharged from the U.S. Armed Forces, or separated from the U.S. Armed Forces under a dismissal adjudged by a general court-martial?   Required

15.  Have you ever been found by a civil or criminal court, board, commission or other lawful authority, as a result of subnormal intelligence, incompetency, mental illness, condition or disease, to be a danger to yourself or others, to lack the mental capacity to manage your own affairs, or to be incompetent to stand trial, guilty but mentally ill, not guilty for lack of insanity or not guilty for lack of mental responsibility?   Required

16.  Have you been hospitalized as an inpatient in any mental hospital or alcohol or drug treatment center within the past 5 years, or have you ever been ordered to receive inpatient or outpatient treatment at any treatment facility, mental health center, hospital, sanitarium, clinic or program for a mental condition, drug abuse, or alcohol abuse, by any court, board, or other authority in any civil, criminal or administrative proceeding? (If yes, provide a copy of the order).   Required

17.  Have you ever had a weapons carry license revoked by a judge of a probate court within the past 3 years?   Required