12. Are you a compulsive liar? Y N 13. How many past sexual partners have you had? 14. What is your favorite sexual position? If you dont know the name then describe it. 15. Do you work out? Y N 16. Do you smoke? Y N 17. Do you drink alcohol? Y N 18. Do you use any illegal substances? Y N 19. Do you have kids? Y N 20. If yes, how many? 21. Do you use any illegal substances? Y N 22. Do you currently have a source oI income? Y N 2. II yes, what is it? 24. Do you live on your own? Y N 2. II no, whom do you currently reside with? 26. Do you cook? Y N 27. Furthest level of education (circle one): High School Some College Associates Degree Bachelors Degree 28. Do you have a history of mental illness? Y N 29. Favorite sport & team 30. Are you conceited in any way? Y N 31. What kind of car do you drive? This application must be lled 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 posi- tion . Just a reminder: be completely honest with all your answers, I will be double checking applica- tions using Google to ensure truthfulness. Any false information will guarantee an automatic shredding of your application. Thanks, and have fun. 1. Full legal name ______________________________________________________________________ 2. Age _________ 3. Height _________ 4. Weight _________ 5. Eye color _______ 6. Measurements _________ 7. Natural hair color _______ 8. Current hair color Last First Middle BASIC INFORMATION 9. Home phone 10. Cell Phone 11. Email CONTACT INFORMATION ( ) - ( ) - GETTING TO KNOW YOU (Remember to answer honestly, I WILL Google you.) The Ofcial Girlfriend Application 2 Copyright 2005 Brody Vercher. 32. Have you ever cheated on a boyIriend? Y N 33. Do you have any siblings? Y N 34. What is your religion? 35. How many piercings (not including ears) do you have? 36. How many tattoos do you have? 37. What is your current favorite movie of all time? 38. List your three favorite genres of music in order of most favorite to least favorite: 39. What is your idea of a perfect date in three sentences or less? 40. Explain why I should pick you as my girlfriend in one sentence:
41. List any special skills that you may have that are relevant to this position: 42. What do you want out of a relationship, specically one with me? REASONS I SHOULD PICK YOU 3 Copyright 2005 Brody Vercher. 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 I give you the authorization to verify it using any means you deem appropiate. I understand that by lling 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. RELATIONSHIP BACKGROUND Start Date: End Date: Were you in love? Y N Could I kick his ass? Y N Sexually active? Y N Reason for breakup: List the details of your past three relationships starting with the most recent. Start Date: End Date: Were you in love? Y N Could I kick his ass? Y N Sexually active? Y N Reason for breakup: Start Date: End Date: Were you in love? Y N Could I kick his ass? Y N Sexually active? Y N Reason for breakup: