1) Applicants Name:
2) City/State:
3) Marital Status:
4) Age/Astrological Sign:
5) Smoke/Drink/Drugs:
6) Telephone/Pager:
a. Best time to reach you:

7) Brief physical description:

8) How do you dress?
a.What's your style?

9) List any children:
a.Do you want more in the future?

10) Type of relationship Applying for:

11) Are you looking for Full-time or Part-time?

12) LIST HOURS OF AVAILABILITY
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:

13) Have you previously been in a relationship with me?
a.If yes, when?

14) What interested you to apply?

15) List skills, experience, or qualifications which you feel would be of help to you in the position you are applying for:

PREVIOUS RELATIONSHIPS - PLEASE ACCOUNT FOR ALL YOUR TIME.
BEGIN WITH MOST RECENT RELATIONSHIP. YOU MAY INCLUDE VOLUNTEER WORK,
RELEVANT EXPERIENCE OR MILITARY SERVICE. (LOL)

16a.) Relationship Dates - From: To:
Type of relationship:
Reason for leaving:

b.) Relationship Dates - From: To:Type of relationship:
Reason for leaving:

c.) Relationship Dates - From: To:
Type of relationship:
Reason for leaving:

17) LIST ANY ADDITIONAL REFERENCES:
a)
b)
c)

18) Have you ever been dismissed or asked to resign from a relationship?a.If yes, why?

19) Have you ever been convicted of a felony or misdemeanor?

20) Is communication important to you?
a. Please explain you answer:

21) What would you consider your ideal relationship?

22) What is your idea of a good date?

23) What qualities in a man attract you the most?
a. What turns you off the most?

24) Do you see a glass as being "half-full" or "half-empty"?

25) What are your career goals?

26) What are your favorite types of music?

27) What do you do for fun?
a. Any hobbies?

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Essence of Love.org Relationship Application developed by Donahue Holland.
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We thank you for your time and patients. We hope you enjoyed it !!!!
Don't Worry. Be Happy!!