Girlfriend application form

If you are a hot girl, you may want to date Jordan. Therefore, please fill this form with full, accurate and sincere information so Jordan can contact you. None of these data will be sold, displayed or sent anywhere else than Jordan's mailbox. Please, no gay submissions as Jordan is not interrested ( yet ).

Basic information

1. Real name ( first + last ) :
2. Age :	3. Height :	cm	4. Weight :	kg
5. Measurements ( in cm ) :		6. Origin :
7. Eye colour :	8. Real hair colour :		9. Current hair colour :

Contact information

10. Address :
11. Zip code :		12. Country :
13. Email :
14. Cellphone :		15. Home phone :

Getting to know you

16. Are you a virgin ? Y N • 17. If no, how many past sexual partners have you had ? • 18. Have you ever had a sex change ? Y N • 19. Do you smoke ? Y N • 20. Do you use any illegal substances ? Y N • 20. Do you have kids ? Y N • 21. If yes, how many ? • 22. Do you workout ( fitness ) ? Y N • 23. Do you currently have a source of income ? Y N • 24. If yes, what is it ? • 25. Do you live on your own ? Y N • 26. If no, whom do you currently reside with ? • 27. What kind of car do you drive ? • 28. Furthest level of education ( ex : high school, college... ) ? • 29. Have you ever cheated on a boyfriend ? Y N • 30. Do you cook ? Y N • 31. Do you have any siblings ? Y N • 32. What is your religion ? • 33. What is your political persuasion ? • 34. How many piercings ( not including ears ) do you have ? • 35. How many tatoos do you have ? • 35. What is your current favourite movie of all time ? • 36. Do you like South Park animated series ? Y N • 37. List your favourite genres of music in order of most favourite to least favourite ?

Reasons I should pick you

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

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

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

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

Relationship background

List the details of your past three relationships starting with the most recent.

Start date :		End date :
Were you in love ?	Y N	Sexually active :	Y N
Could i kick his ass ?	Y N	Reason for breakup :

Start date :		End date :
Were you in love ?	Y N	Sexually active :	Y N
Could i kick his ass ?	Y N	Reason for breakup :

Start date :		End date :
Were you in love ?	Y N	Sexually active :	Y N
Could i kick his ass ?	Y N	Reason for breakup :

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 filling out this form and submitting it for review does not guarantee that I will be chosen.

Copy the code below in the box for approval :
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based on Brody Vercher's Girlfriend application form