Form601(c)

TheCompassionExam
EmpoweringClerksNetwork,
DepartmentofForgiveness
108BV(489992)

CommissionerofCompassion
NormanFischer

Form 601(c) is forpeoplewhowishto apply foraForgiver's License.One mustbeeligibleforforgivingoneormorepersons

whocausedhim/her painand/or suffering andanswer6ormorequestionsinorder toissueaForgiversLicence.You willbe
notifiedwhether you passed the examwithin two weeks andreceiveyourlicence shortlyafterwards.The Forgiver'sLicense
gives you permission to forgive, please note that it does NOT guarantee any apologetic status. If you're interested in
apologizing please use form 447D (commonly known as the Apology Declaration, available in variouslanguagesat ECN
branchesandbymail.)ForgivingwithoutavalidForgiver'sLicensecancauseseriousreliefandevenhappiness.

Name:_________________________________Nickname:________________________DOB:_____________________
Address:___________________________________________________________Emotionalstate:__________________
Email:____________________________________________IvereceivedECNservicesinthepast:yes/no

Imapplyingfor:
ClassALicence(forgivemyselfandothers)
ClassBLicense(forgiveothersonly)

1.Mychildhoodwas(circlethecorrectanswer)
a
.Perfect.
b
.OK.
c
.Terrible.
d
.Alloftheabove.

2.WhatpercentageofthehardshipsinmylifehaveIovercome?
a
.Approximately0to20percent.
b
.Approximately20to60percent.
c
.Approximately60to80percent.
d
.Approximately80to100percent.

3.IfpersonAforgivespersonB,whobenefitsfromthat?
a
.PersonB.
b
.PersonA.
c
.PersonC.
d
.Alloftheabove.

form601(c)CenterforSupportiveBureaucracy
108BV(489992)
www.alfassibooks.com
page1

4.WhataretheECNregulationsfortextingandforgiving?
a
.It'soktoforgiveviatext,butit'sbettertodoitviaemail.
b
.It'soktoforgiveviatext,butit'sbettertodoitusingsocialmedia.
c
.It'soktoforgiveviatext,butit'sbettertodoitinperson.
d
.It'soktoforgiveviatext,butit'smoreimportanttoforgiveintheheart.
e.
OneshouldalwaysconsultwithanEmpoweringClerkbeforeforgiving.

5.Describeoneexperienceofforgivenessandhowitaffectedyou:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

6.Howmanypeopledoyouwishtoforgive?(forclassAapplicants,includingyourself)
a
.01
b
.23
c
.35
d
.Morethan5

7.Iwanttoforgivebecause:
a
.TheDalaiLamasaidso.
b
.Theburdenofangerandresentmentishurtingme.
c
.I'veexperiencedforgivenessinthepastanditwasbeneficialforme.
d
.Other(pleasewritebelow):
___________________________________________________________________________________________________
___________________________________________________________________________________________________

IgivepermissiontoECNtousemyanswersforresearchandartisticpurposes.
Idliketokeepmyinformationconfidential.

Thank you.PleasemailittoEmpoweringClerksNetwork(Attn:ProcessingDepartment),60AndersonSt.,BeaconNY12508
or to
alfassibooks@gmail.com with aprofile photoyoudliketouseforyour licence. TheEmpoweringClerksNetwork(ECN)
is a subdivision of Alfassi Books, a community publishing house based on the gift economy model. After receiving your
Forgiver's License by mail (within 23 weeks) you may choose to support Alfassi Books or give some of your owntime,
moneyortalenttoanothergoodcauseyou'dliketosupport.Moreinformationisavailableat

www.alfassibooks.com
.

Iagreetosupportotherhumanbeings.
IwanttoJoinECNasanEmpoweringClerk.
haveaquestion:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

form601(c)CenterforSupportiveBureaucracy
108BV(489992)
www.alfassibooks.com
page2