Girlfriend Application Form

Only fill out this form if you are really ready for something serious. But remember, no judging on your first date :)

Questions for Girlfriend Application Form

1.

Name

The answer should be a text input.
2.

Nick name

The answer should be a text input.
3.

Address

The answer should be a text input.
4.

City

The answer should be a text input.
5.

State/Province

The answer should be a text input.
6.

Postal/Zipcode

The answer should be a number input.
7.

Age

The answer should be a number input.
8.

Eye Color

The answer should be a text input.
9.

Natural hair color

The answer should be a text input.
10.

Current hair color

The answer should be a text input.
11.

Height

The answer should be a text input.
12.

Home Phone number

The answer should be a phone number.
13.

Applicant Phone number

The answer should be a phone number.
14.

Email Address

The answer should be a email input.
15.

Educational qualification

The answer should be a single choice:
  1. Less than a high school diploma
  2. High school degree or equivalent
  3. Bachelor's degree
  4. Master's degree
  5. Doctorate
16.

Have you ever cheated on a boyfriend?

The answer should be a single choice:
  1. Yes
  2. No
17.

Do you use any illegal substances?

The answer should be a single choice:
  1. Yes
  2. No
18.

Do you drink heavily on a regular basis?

The answer should be a single choice:
  1. Yes
  2. No
19.

Do you have any tattoos?

The answer should be a single choice:
  1. Yes
  2. No
20.

Do you have any piercing?

The answer should be a single choice:
  1. Yes
  2. No
21.

Do you have any Siblings?

The answer should be a single choice:
  1. Yes
  2. No
22.

If YES,how many siblings you have?

The answer should be a number input.
23.

Explain why I should pick you as my girlfriend?

(Explain in one sentence)

The answer should be a text input.
24.

List any special skills you have that may be relevant to this position

The answer should be a text input.
25.

Applicant Signature

The answer should be a signature.

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