The Official Girlfriend Application

 The Official Girlfriend Application IE    N    L FR I  E      I  R  D     G

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. position.

    L     A

A    

P     

       I

P        L      

     C            I

 I     

 C    A

       F        F

  T

      O

  I  

    O     N

      E       H       T

 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.

BASIC INFORMATION INFORMATION

1. Full legal name Last

First

2. Age

3. Height

6. Measurements

Middle

4. Weight

5. Eye color 

3. Natural hair color

4. Current hair color 

CONTACT INFORMATION

9. Home phone (

)

-

10. Cell Phone (

)

-

11. Email

GETTING TO KNOW YOU

12. Are you a virgin? Y

N

13. If no, how many past sexual partners have you had?

14. Have you ever had a sex change? Y illegal substances? Y

N

19. Do you workout? Y

N

15. Do you smoke? Y

17. Do you have kids? Y N

N

N

16. Do you use any

18. If yes, how many?

20. Do you currently have a source of income? Y

what is it?

22. Do you live on your own? Y

do you currently currently reside reside with? with?

N

N

21. If yes, 23. If no, whom

24. What kind of car do you drive?

25. Furthest level 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

N

Some College

Associate’s Associate’s Degree

27. Favorite sport & team

N

29. Do you cook? Y

1 Copyright © 2005 Brody Vercher .

N

Bachelor’s Degree

30. Do you have any siblings? Y

N

31. What is your religion?

32. What is your political persuasion you have?

33. How many piercings (not including ears) do

34. How many tattoos do you have?

favorite movie of all time? 36. List your three favorite favorite genres of music in order of most favorite favorite to least favorite:

REASONS I SHOULD PICK YOU

37. What is your idea idea of a perfect date in three sentences or less?

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

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

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

2 Copyright © 2005 Brody Vercher .

35. What is your current

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

N N

End Date: Could I kick his ass? Y Reason for breakup:

N

N N

End Date: Could I kick his ass? Y Reason for breakup:

N

N N

End Date: Could I kick his ass? Y Reason for breakup:

N

REFERENCES

Please supply three references (preferably hot female friends) and their phone numbers or email addresses.

CERTIFICATION

I hereby certify that the information given by me in this application is true to my knowledge and an d I give you the authorization to verify it using any means you dee m appropiate. I understand that by filling out this form an d 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.

3 Copyright © 2005 Brody Vercher .