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 PhoneThis field is for validation purposes and should be left unchanged. The Boyfriend Application - over 18 Applicant InformationName* First Middle Last Your Email* birthdate* Date Format: MM slash DD slash YYYY Shadiness FactorsDo you have a valid driver’s license?*YesNoState 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?*YesNoIf Yes, give details:*Does the address on your driver’s license match where you current reside?*YesNoHave you been arrested?*YesNoIf Yes, give details:*Are you on any government watch lists?*YesNoDo you own a passport?*YesNoHave you ever been terminated from employment?*YesNoIf Yes, give details:*Responsibility FactorsHighest level of education?*Drop OutGEDHigh SchoolTrade SchoolSome CollegeCollege GraduateGrad SchoolDoctorateOtherAre you currently employed full-time?*YesNoDo you pay taxes?*YesNoDo you vote?*YesNoDo you have credit cards in collections?*YesNoDo you own a working vehicle?*YesNoIf Yes, What kind?*Have you ever been evicted?*YesNoIs your credit score above 700?*YesNoUnknownDo you own a home?*YesNoDo you rent?*YesNoDo you have a roommate?*YesNoIf yes, does he sleep on the couch?*YesNoDo you live with your parents?*YesNoCan you cook?*YesNoAre you mechanically inclined?*YesNoDo you know how to do laundry?*YesNoHave you ever changed a diaper?*YesNoSex FactorsAre you a virgin?*YesNoHow many sex partners have you had?*1-55-1010-2525-100100-1000Can’t count that highDo you have any STD’s?*YesNoHave you ever had any STD’s?*YesNoHave you been tested for STD’s within the last 6 months?*YesNoAre you bi or bi-curious?*YesNoHave you had a sex change?*YesNoDo you enjoy choking women during sex?*YesNoAre you into bondage?*YesNoDo you own a dungeon or creepy basement?*YesNoPersonality FactorsDo you like animals?*YesNoDo you have hobbies?*YesNoList Hobbies*Do you like to read?*YesNoFill in the blank: "I like Guns and Roses. _________ concert was great!."*ThereThey’reTheirDo you have any talents?*YesNoIf Yes, What Talents?*Laziness FactorsDo you have a gym membership?*YesNoDo you have a workout routine?*YesNoDo you have a primary care doctor?*YesNoDo you smoke cigarettes?*YesNoAre you prescribed any medication?*YesNoIf Yes, What kind?*Psycho QuestionnaireDo you own any firearms?*YesNoAre you legally able to own firearms?*YesNoDo have friends?*YesNoAre your friends human beings?*YesNoDo you have any history of mental illness?*YesNoDo you have a psychiatrist on speed dial?*YesNoHave you ever been Baker Acted?*YesNoDo you drink alcoholic beverages?*DailyWeeklyOccasionallyNeverDo you like to buy the entire bar a round of shots?*YesNoDo you like to argue with strangers?*YesNoDo you like to argue with the police?*YesNoDo you love your mother?*YesNoAre you friends with your exes?*YesNoDo you go to church?*YesNoHave you ever killed in the name of your religion?*YesNoDo you have an attorney on retainer?*YesNoDo you have any addictions?*YesNoIf Yes, what addictions?*Are you a sex addict?*YesNoDo you inhale, inject, or smoke any chemical substances?*YesNoIf 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.