Let’s Find LoveInterested in finding love? Complete the following application and we’ll let you know if it’s a date! Name * First Name Last Name Email * Phone (###) ### #### Sex * Female Male Age * Hair Color Eye Color Height * Weight Ethnicity African American/African Native person of North and South America Asian Native Hawaiian or Other Pacific Islander White Hispanic or Latino Education * High School/GED +Trade School +2 years +4 years 4+ years Occupation * Employment Status * Full-time Part-time Other Explain if "Other" selected, else "N/A" * Living Situation Live alone Live with children Rooming Other Explain if "Other" selected. Number of Children * Age of youngest child * Religion is important Yes No Explain if "Yes" selected Looking For * Male Female Relationship Goal * Friendship Love Not Sure Age preference * 30 - 40 41 - 50 51 - 60 60+ Not important Problem Drinker Yes No Problem Smoker Yes No Body Art Yes No Piercings (other than earlobes) Yes No Star Sign Capricorn Aquarius Pisces Aries Taurus Gemini Cancer Leo Virgo Libra Scorpio Sagittarius Not important Criminal Background * Yes No Your redemption story? Pets Yes No Preferred pets Personal Strengths * Personal opportunities for growth * How would you describe your personality? How would you describe your sense of humor How would you describe your sense of dress and appearance What sets you apart from the rest What do you think is important for a healthy relationship? What does success look like to you? What do you do for fun/entertainment What foods do you prefer What music do you prefer What sports do you prefer What types of books do you prefer What types of movies do you prefer Where have you traveled or would like to travel to Describe your ideal companion/partner How adaptive are you to having a partner from a different culture than your own How would you spend a romantic weekend What does a perfect date look like to you How did you hear about us? Website Friend Event Social Media Flyer Other Explain if "Other" selected Anything else you'd like to share? * Thank you!
