boyfriendapp

The Official Boyfriend Application
This application must be filled out in its entirety
Just a reminder: be completely honest with
in order to be considered for the position that you
all your answers, I will be double checking
are applying. Photographs may sway my opinion
I
CIAL BOYFRIEND APPL
F
I
C
F
A
applications using Google to ensure honesty. Any
T
one way or the other, feel free to attach any that
O E
O IN
false information will automatically nullify any
H
you think may help you gain this position.
T
chance you might have had. Thanks, and have fun.
BASIC INFORMATION
1. Full legal name Jesse
Samuel
David
Last



First



Middle
2. Age 3. Height 4.
18
5'9"
Weight 5. Eye color
215
Hazel
6. Measurements
3. Natural hair color 4. Current hair color
???
Dark

Dark
CONTACT INFORMATION
9. Home phone 10. Cell Phone
( ) -
N/A
( ) -
773 996
1466
11. Email
samjessegenome@gmail.com
GETTING TO KNOW YOU
12. Are you a virgin? Y N 13. If no, how many past sexual partners have you had?
4
14. Have you ever had a sex change? Y N 15. Do you smoke? Y N 16. Do you use any
illegal substances? Y N 17. Do you have kids? Y N 18. If yes, how many?
19. Do you workout? Y N 20. Do you currently have a source of income? Y N 21. If yes,
what is it? 22. Do you live on your own?
Family's store
Y N 23. If no, whom
do you currently reside with? 24.
parents, soon roommate
What kind of car do you drive?
Mom's car
25. Furthest level of edumacation (circle one): High School Some College Associate's Degree Bachelor's Degree
26. Do you have a history of mental illness? Y N 27. Favorite sport & team
archery
28. Have you ever cheated on a girlfriend? Y N 29. Do you cook? Y N
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Copyright (c) 2005 Brody Vercher.

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30. Do you have any siblings? Y N 31. What is your religion?
Agnostic Christian
32. What is your political persuasion 33. How many piercings (not including ears) do
Democrat
you have? 34. How many tattoos do you have? 35.
0
2
What is your current
favorite movie of all time? The Young Frankenstein
36. List your three favorite genres of music in order of most favorite to least favorite:
Alternative, electronic, techno
REASONS I SHOULD PICK YOU
37. What is your idea of a perfect date in three sentences or less?
We go out to eat somewhere nice, but not stuffy, and then come home to watch movies and cuddle
--maybe makeout! The movies could be horror, action, comedy, adventure, Disney, whatever.

38. Explain why I should pick you as my boyfriend in one sentence:
I am very loyal and dedicated to making relationships work --even in the hard times.

39. List any special skills that you may have that are relevant to this position:
I'm very empathetic and I'm a good cuddler!

40. What do you want out of a relationship, specifically one with me?
A monogamous relationship that lasts as long as we can make it.

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Copyright (c) 2005 Brody Vercher.

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RELATIONSHIP BACKGROUND
List the details of your past three relationships starting with the most recent.
Start Date:
May 4th, 2012
End Date:
May 11th, 2012
Were you in love? Y N
Am I prettier? Y N
Sexually active? Y N
Reason for breakup: His parents told him to break up
Start Date:
June 12th, 2011
End Date:
August 29th, 2011
Were you in love? Y N
Am I prettier? Y N
Sexually active? Y N
Reason for breakup: He cheated on me
Start Date:
End Date:
Were you in love? Y N
Am I prettier? Y N
Sexually active? Y N
Reason for breakup:
REFERENCES
Please supply three references (preferably hot male friends) and their phone numbers or email addresses.
just-jord4n
corenylife
thepsychoemoreport
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
8/2/2012
Applicant Signature
Do not write below this line, this area will be used to take notes when conducting interviews.
3
Copyright (c) 2005 Brody Vercher.

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