Application for Active Membership

Provide accurate answers to *ALL* questions to the best of your ability; leave no field blank.  All data is held in strict confidence.  False answers are grounds for immediate termination of membership.




Preferred Pseudonym, if desired:

Illuminati Order Bulletin Board (IOBB) Username, if registered:

Mailing Address:



Other Contact Information (ICQ, AIM, etc.):

Personal Web Site:


Date of Birth:

Place of Birth:



Color of Eyes:

Color of Hair:

Blood Type:

Describe anybody modifications (tattoos, piercings, etc.):

Marital Status:

Name, Birth date, and Birthplace of Spouse:

Number of Children and Ages:

Current and Previous Religious or Spiritual Affiliations and Offices:


Ethnic Background:

Current Citizenship:

Spoken Languages:

Written Languages:

Educational Background and Degrees:

Present Occupation:

Special Interests, Talents, Abilities:

Hobbies and Collections:

I am interested in participating in Special Interest Groups:  Y/N

I am interested in participating in local Lodge activities or contact with local Active Members:  Y/N

I am interested in serving as a contact point or media representative in my area:  Y/N



1.)  What are your impressions of the Illuminati Order?

2.)  What do you expect to accomplish through membership in the Illuminati Order?

3.)  If you were granted three wishes, what would they be?

4.)  What is your attitude toward animals?  If you have any pets, describe them.  What is your ideal pet?

5.)  Are you satisfied with your sex life?  Describe your idea of an attractive sex partner?

6.)  What is your life’s goal, and what steps have you taken to attain it?

7.)  Do you find any of our tenets objectionable?  If so, which and why?

8.)  How many years would you like to live?

9.)  What are your musical tastes?  Provide examples.

10.)  Cite four motion pictures you consider your favorites, and why.

11.)  What are your food preferences?

12.)  Cite four books you consider your favorites, and why.

13.)  If you own an automobile, describe it.  What is your ideal automobile?

14.)  As a child, what were your favorite pastimes?  What was your disposition?

15.)  Of which country, other than the one in which you now reside, would you prefer being a resident?

16.)  In what type of dwelling do you live?  Describe your ideal home?

17.)  Describe your political philosophy.

18.)  What is your personal definition of magic?

19.)  Do you feel oppressed or persecuted in any way?  If so, explain.

20.)  Are you self-sufficient or are you most productive in a group?

21.)  Do you make friends easily?

22.)  What is more important to you, self-satisfaction or approval from others?

23.)  Would you rather influence or be influenced?

24.)  Do you have leadership abilities?

25.)  Do you consider yourself a good judge of character?

26.)  In what organizations do you hold membership?

27.)  Have you possessed or used illegal drugs or been convicted of a crime?  If so, explain in full.

28.)  Describe a significant experience in your life bordering on what you would consider the paranormal or supernatural, if any.

29.)  What forms of entertainment do you prefer?

30.)  Tell one of your favorite jokes.

31.)  Cite one of your favorite quotes.

32.)  Have you served in the armed forces?  If so, provide pertinent data.

33.)  How long did it take you to join the Illuminati Order?

34.)  Are you a smoker?  If so, to what extent.

35.)  Have you accomplished anything important or significant?  If so, what?

36.)  What parent do you admire most and why?

37.)  Do you drink alcoholic beverages?  If so, to what extent?  State preferences.

38.)  Do you have any tangible services or resources which you would care to contribute?

39.)  Are you free to travel?  If so, to what extent?

40.)  Define Illuminati.

Provide a recent photograph with this membership application. FOR OFFICE USE ONLY

Initial Application Processing Date:

Photograph Enclosed: