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Fred Hampton Gun Club
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Full Name (Legal)
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Name Preferred (Optional)
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Date of Birth
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Contact information (Telephone and Email)
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Nationality (Race)
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Where do you live? (City, State)
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Do you own a firearm?
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Do you have any misdemeanors or felony charges? If so what are they?
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Do you work with any law enforcement agencies?
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Why do you want to join the Fred Hampton Gun Club?
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What skill set do you have? Example: Marketing, Computer science, public relations etc.
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What books have you read?
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Do you believe in policing your own communities and why?
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What do you know about Fred Hampton? An what do you like about him most?
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Do you agree with the following statement and why:

We want land, food, housing, education, clothing, justice and peace. And, as our political objective, we want NATIONAL LIBERATION in a separate state or territory of our own, here or elsewhere, “a liberated zone” (“New Africa” or Africa), and a plebiscite to be held throughout the BLACK NATION in which only we will be allowed to participate for the purposes of determining our will and DIVINE destiny as a people?
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Do you agree with the following statement and why: We want an immediate end to POLICE HARRASSMENT, BRUTALITY and MURDER of Black People. We want an end to Black-on-Black violence, “snitching,” cooperation and collaboration with the oppressor.
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You can not participate in any military organizations or law enforcement agencies. Do you agree with this rule?
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You will not speak negativity against nor harm anyone black outside of self defense. Do you agree?
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Are you in any other organization? if yes name them:
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You will never sell drugs to anyone in the black community. Do you agree?
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There will be a monthly membership fee that will contribute towards uniforms, gun purchases, ammo and various other projects organized with in this gun Club. Do you have a problem with doing so?
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Do you understand that by submitting this application does not guarantee acceptance into the FHGC?
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Date you submitted application
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By submitting this form I completely understand each question and have answered each question honestly and to the best of my ability. (Type Name Below to verify)
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Name Preferred (Optional)
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