Application for consideration

This application must be filled out in its entirety in order to be considered for the position.
Photographs may sway my opinion. Any dishonesty in regards to your answers on this application
will disqualify you for the position.

Basic Info

Full name: Age:

Height: Build (thin, average, stocky):

Natural hair color: Eye Color:

Current hair color: Phone number:

Are you a virgin? __Yes __No Number of sexual partners:_________

Do you smoke? __Yes __No Do you drink? __Yes __No

Do you have any kids? __Yes __No If yes, how many? ______
Do you workout? __Yes __No Do you have a car?
__ Yes __ No

Do you live on your own? __Yes __No If no, with whom do you live?
_______________________________

Do you have a source of income? If no, do not continue application.

__ Yes __ No If yes, where? ______________________

Furthest level of education: Work Training Bachelors Degree

(circle one) Masters Degree Doctorate Degree
What did you study?
________________________________ Do you cook? __ Yes __ No
Religion? Political persuasion?
________________________________ ________________________________

Currently listening to? Favorite movie?

________________________________ ________________________________
Peace Corps or Military ? Do you like to travel?
(Circle one if you would join) __ Yes __ No
Foreign languages? _____________ Do you use illegal drugs? __Yes __No
(excluding marijuana)
Relationship Background:
Start date: End date: Reason for leaving:
Start date: End date: Reason for leaving:
Start date: End date: Reason for leaving:
References: Please supply three references (preferably hot males) on a
separate piece of paper. Include their name and phone number.

Certification:

I hereby certify that the information given by me in this application is true to my knowledge and I give
you the authorization to verify it using any means you deem appropriate. I understand that by filling
out this form and submitting it for review does not guarantee that I will be chosen.

Signature:_____________________________________ Date:__________