*********ONLINE APPLICATION********

Screen Name:

Marital Status:

if Seperated, do you and your ex still live in the same house (yes/no)?

Employment status:

Temperament:

Sense of humour (yes/no)?:

If yes, then please classify:

High maintenance (yes/no)?:

If yes, please qualify:

Do you dance?:

Do you sing (yes/no)?:

if yes, should you sing (yes/no)?:

Have You Ever been charged and/or convicted of Criminal Harassment (yes/no):

How many pairs of shoes do you own (approx.)?:

Do you routinly ask a man if a particular article of clothing makes you look fat (yes/no)?:
if no, then a polygraph may be requested.

Outdoorsy, or city slicker?:

Open minded, or set in your ways?:

Bootyliciousness Factor:

Favorite pizza toppings:

Any other pertinent information that may be useful:






Thank you for your interest. Please note, however, that only those selected for an interview will be contacted.