The Official Girlfriend Application


BASIC INFORMATION 1. Full legal name
Last First Middle

2. Age 6. Measurements

3. Height

4. Weight 3. Natural hair color

CONTACT INFORMATION 9. Home phone ( 11. Email ) 10. Cell Phone ( ) -

GETTING TO KNOW YOU 12. Are you a virgin? Y N 13. If no, how many past sexual partners have you had? N 15. Do you smoke? Y N N 16. Do you use any

14. Have you ever had a sex change? Y illegal substances? Y 19. Do you workout? Y what is it? do you currently reside with? N N

17. Do you have kids? Y

20. Do you currently have a source of income? Y 22. Do you live on your own? Y N

25. Furthest level of edumacation (circle one): 26. Do you have a history of mental illness? Y 28. Have you ever cheated on a boyfriend? Y

High School


Copyright © 2005 Brody Vercher.



This application must be filled out in its entirety in order to be considered for the position that you are applying. Photographs may sway my opinion one way or the other, feel free to attach any that you think may help you gain this position.




Just a reminder: be completely honest with all your answers, I will be double checking applications using Google to ensure honesty. Any false information will automatically nullify any chance you might have had. Thanks, and have fun.





5. Eye color 4. Current hair color

18. If yes, how many? N 21. If yes, 23. If no, whom

24. What kind of car do you drive?
Some College Associate’s Degree Bachelor’s Degree

27. Favorite sport & team 29. Do you cook? Y N

30. Do you have any siblings? Y 32. What is your political persuasion you have? favorite movie of all time?


31. What is your religion? 33. How many piercings (not including ears) do 35. What is your current

34. How many tattoos do you have?

36. List your three favorite genres of music in order of most favorite to least favorite:

REASONS I SHOULD PICK YOU 37. What is your idea of a perfect date in three sentences or less?

38. Explain why I should pick you as my girlfriend in one sentence:

39. List any special skills that you may have that are relevant to this position:

40. What do you want out of a relationship, specifically one with me?

Copyright © 2005 Brody Vercher.

RELATIONSHIP BACKGROUND List the details of your past three relationships starting with the most recent. Start Date: Were you in love? Y Sexually active? Y Start Date: Were you in love? Y Sexually active? Y Start Date: Were you in love? Y Sexually active? Y REFERENCES Please supply three references (preferably hot female friends) and their phone numbers or email addresses. N N End Date: Could I kick his ass? Y Reason for breakup: End Date: Could I kick his ass? Y Reason for breakup: End Date: Could I kick his ass? Y Reason for breakup: N





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 appropiate. I understand that by filling out this form and submitting it for review does not guarantee that I will be chosen. Date Applicant Signature

Do not write below this line, this area will be used to take notes when conducting interviews.

Copyright © 2005 Brody Vercher.