GUILT PROCESS APPLICATION PAGE.

         There are now additional ways of sending this questionaire 
     back to me.  In addition to saving it as a .txt file, to send it 
     as a .txt format attachment; and, copy it from the screen, to 
     paste into an e-mail; I'm adding links which will automatically 
     insert the questions into the body of your e-mail.  These e-mail 
     links will be in red.


                               APPLICATION RULES

     
      1) I reserve the right to deny any application, for any reason.

      2) No one under the age of 18 will be considered.  Applications
      from persons under the age of 21 will be accepted only under
      extraordinary circumstances.

      3) The application must be voluntarily submitted by the applicant.
      No third party applications will be considered.

          RETAIN COPIES, although e-mail is generally reliable, messages 
      occassionally get truncated or don't go through.  Both of these 
      (especially the application) take a lot of work and emotional 
      energy to fill out; so, you don't want to have to start back over 
      from scratch.  

          All information provided by you, now or in the future, will be
      considered to be confidential and will NOT be released to outside
      parties without your consent, with the following exceptions:

      1) admissions of murder, admissions of child molestation, or 
      threats against persons or property must and WILL be reported to
      the relevant authorities;

      2) some details of your case might be used for staff training or
      demonstration purposes, if these occur they will ONLY be done in
      such a way as to insure that your identity is protected.

      3) a copy of the video tape, application, and consent forms will be
      kept for the purpose of mounting a defense, in the event you should
      later decide to try to either file charges or a lawsuit against us.
      In limited cases, a copy of this tape, with all of your identifying
      features masked, might also be used for training or demonstration
      purposes; but, under no circumstances will it be used in a manner 
      which is likely to reveal your identity, for anything other than 
      legal defense purposes.

      4) if you would like to request a copy of this tape (such as to
      present to your victim as evidence of your remorse; or. "insurance 
      against habit guilt") and are willing to sign that you have a copy 
      as well, one will be made available to you.  Let me know ahead of 
      time though; so, that I can have the necessary document on hand.




      _______________ DELETE ABOVE THIS LINE _________________



      "GUILT CASE" APPLICATION

      1) Name:
                 (last)       (first)     (middle)

      2) D.O.B.:

      3) Phone number and best time to contact you:

      4) Person to contact in case of an emergency (and phone):
          Will this person be aware of the reason you will be here?

      5) How physically demanding is your job, recreational 
      activities, and general lifestyle? 

      6) List any arrests (include dates):

      7) List any convictions, including any misdemeanors and
      deferred adjudications (include dates and sentences):
      Describe, in detail, the circumstances involved; and, 
      what you could have done differently to have achieved a
      different result?

 Questions 1 through 7

      8) "Charge(s)" you are leveling against yourself (be thorough):

      9) When did th(is/ese) occur:

      10) What has been the impact on the lives of others? 

      11) What has been the impact on your own life? Include examples 
      of self-sabotaging behavior, "internal dialog," etc.

      12) How did you arrive at the point where you've decided to seek 
      out corporal punishment as a way of resolving your guilt feelings?

 Questions 8 through 12

      13) Write a personal history and description of your self-concept.
      (Who are you REALLY and how did you become who you are?) 
      Include a detailed summary of the event(s) which resulted 
      in the guilt which you are feeling.  If you feel that you 
      need to do so, you may change: names, places, and dates; 
      but, you are urged to keep the material facts as accurate 
      and thorough as possible.

      14) What part did the use of alcohol or other drugs play in your
      situation? Are you willing to become actively involved in a
      substance abuse program? Why? / Why not? If you already are, 
      how long have you been "clean and sober"?

      15) What other avenues have you pursued in an attempt to resolve
      your feelings about what occurred?

 Questions 13 through 15

      16) Do you have any history of psychological or psychiatric 
      problems.  If so, how long ago and what did they entail?

      17) Do you have any history of involvement in "BDSM" types 
      of activities?  Have you ever found punishment, or the thought 
      of it, "arousing?" 

      18) Have you ever been determined to be incompetent or unfit to
      make decisions for yourself?

      19) Do you understand that the people working with you are not, 
      and make no claims of being, mental health professionals?

      20) Does the gender of the person(s) working with you matter? 
      Why; or, why not?

      21) Do you have any medical problems which might pose a threat 
      to your life, if you were to undergo such a punishment? (Such 
      as: very high blood pressure, a history of heart trouble, stroke, 
      etc.) When was the date of your last complete physical exam? Did 
      this include an exercise cardiology test?

 Questions 16 through 21
      
      22) Do you understand that that an assumption will be made that,
      after going to such extreme efforts, it would not be in your best
      interest for the punishment to be stopped for any reason other 
      than obvious medical problems, regardless of any requests or 
      demand you might make that it cease?

      23) Would you be willing to fully comply with written assignments,
      both before and after receiving such a punishment?

      24) Are you willing to comply with any and all requests made of 
      you which are deemed necessary to carry out the punishment you 
      are requesting?

      25) Are you willing to comply with any follow up recommendations
      which might be made, such as: drug and/or alcohol treatment
      programs, refraining from the use of alcohol and any other non-
      prescribed drugs, professional psychological counselling, making
      restitution to any victimes, community service activities, etc.?
      Which of those items do you feel you would benefit the most from
      and why?

 Questions 22 through 25

      26) What is your understanding of flogging as a form of punishment
      and why do you feel that it might be appropriate in your specific
      circumstances?

      27) What are you hoping to accomplish by volunteering for such a
      painful experience?

      28) Would you be willing to sign waivers of all claims of mental,
      physical, emotional, financial, or other damages which you might
      incur as the result of our assisting you to deal with this guilt
      through the infliction of corporal punishment (in the form of
      flogging) and to waive all recourse to any civil and/or criminal
      remedies against all persons involved - including but not limited
      to claims of: kidnapping, false imprisonment, assault, battery,
      endangerment, or any other such charges?

      29) If your best friend came to you with your situation, requesting
      your advice and assistance, what would your responses be?

      30) If you were addressing the committee which determines our 
      sentencing recommendations right now, how would you "present 
      your case?"  What would you have to say in your own defense; 
      and, as your own prosecutor?

      31) If you were sentencing: a) your best friend, b) your worst
      enemy, AND c) a total stranger, for these actions (under exactly
      the same circumstances), what would your sentencing recommendations
      be, and why? What do you feel that the appropriate sentence would
      be in your case, and why? If different from any of the above, why?

 Questions 26 through 31

      32) What financial accomodations might you need (if any), in order to 
      do this without the cost causing you a severe hardship?
 
      33) Are you willing to come to Oklahoma; and, if so, do you have any 
      objections to our using my Seminole location?

      34) Will you be needing to hide any marks from a loved one?  If so, 
      what would be the longest which it would be practical for you to do 
      so?

      35) When would be the most practical time for you to come to Okla. 
      for the time needed to do this?  (Both "How soon?" and "What days 
      of the week?")

      36) What method of transportation do you plan to use? (Plane, bus, 
      car...)

      37) If you will be arriving after 04/15/01, what is your average 
      pay per 8 hour work day?

      38) What questions do you feel you would like to have answered
      prior to signing such waivers and why? "What will my sentence be?"
      cannot be answered prior to sentencing.  In order to participate,
      you must be willing to accept, without recourse, whatever decision
      is deemed appropriate.)


 Questions 32 through 37