Boyfriend Application OVER 18 Fill out this part to send the application below to your potential boyfriend… Send a Boyfriend Application - over 18 youyour email address* your name First Last the potential boyfriendtheir email address* their name First Middle Last EmailThis field is for validation purposes and should be left unchanged. The Boyfriend Application - over 18 Applicant boyfriend InformationName* First Middle Last Your Email* Shadiness FactorsDo you have a valid driver’s license?* Yes No State of license?*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificHas you driver’s license ever been suspended, revoked, or canceled?* Yes No If Yes, give details:*Does the address on your driver’s license match where you current reside?* Yes No Have you been arrested?* Yes No If Yes, give details:*Are you on any government watch lists?* Yes No Do you own a passport?* Yes No Have you ever been terminated from employment?* Yes No If Yes, give details:*Responsibility FactorsHighest level of education?*Drop OutGEDHigh SchoolTrade SchoolSome CollegeCollege GraduateGrad SchoolDoctorateOtherAre you currently employed full-time?* Yes No Do you pay taxes?* Yes No Do you vote?* Yes No Do you have credit cards in collections?* Yes No Do you own a working vehicle?* Yes No If Yes, What kind?* Have you ever been evicted?* Yes No Is your credit score above 700?* Yes No Unknown Do you own a home?* Yes No Do you rent?* Yes No Do you have a roommate?* Yes No If yes, does he sleep on the couch?* Yes No Do you live with your parents?* Yes No Can you cook?* Yes No Are you mechanically inclined?* Yes No Do you know how to do laundry?* Yes No Have you ever changed a diaper?* Yes No Sex FactorsAre you a virgin?* Yes No How many sex partners have you had?*1-55-1010-2525-100100-1000Can’t count that highDo you have any STD’s?* Yes No Have you ever had any STD’s?* Yes No Have you been tested for STD’s within the last 6 months?* Yes No Are you bi or bi-curious?* Yes No Have you had a sex change?* Yes No Do you enjoy choking women during sex?* Yes No Are you into bondage?* Yes No Do you own a dungeon or creepy basement?* Yes No Personality FactorsDo you like animals?* Yes No Do you have hobbies?* Yes No List Hobbies*Do you like to read?* Yes No Fill in the blank: "I like Guns and Roses. _________ concert was great!."*ThereThey’reTheirDo you have any talents?* Yes No If Yes, What Talents?*Laziness FactorsDo you have a gym membership?* Yes No Do you have a workout routine?* Yes No Do you have a primary care doctor?* Yes No Do you smoke cigarettes?* Yes No Are you prescribed any medication?* Yes No If Yes, What kind?*Psycho QuestionnaireDo you own any firearms?* Yes No Are you legally able to own firearms?* Yes No Do have friends?* Yes No Are your friends human beings?* Yes No Do you have any history of mental illness?* Yes No Do you have a psychiatrist on speed dial?* Yes No Have you ever been Baker Acted?* Yes No Do you drink alcoholic beverages?*DailyWeeklyOccasionallyNeverDo you like to buy the entire bar a round of shots?* Yes No Do you like to argue with strangers?* Yes No Do you like to argue with the police?* Yes No Do you love your mother?* Yes No Are you friends with your exes?* Yes No Do you go to church?* Yes No Have you ever killed in the name of your religion?* Yes No Do you have an attorney on retainer?* Yes No Do you have any addictions?* Yes No If Yes, what addictions?*Are you a sex addict?* Yes No Do you inhale, inject, or smoke any chemical substances?* Yes No If Yes, what? Permission I agree to submit to a nationwide criminal and civil background check if requested by Proposed Girlfriend. I agree by submitting my application, the information is to be shared with the intended recipient only. I have answered medical and health related questions voluntarily and release my rights under the federal HIPAA Guidelines. I agree not to hold CLC Screenings or Carlton Litigation Consultants, registered agents, employees, or contractors harmless for any damages that may occur by submitting application to requesting party.
