Boyfriend Application UNDER 18

Applicant Information

Name*

First Middle Last

Your Email*

Your Age

School Activities:

What is your GPA?*

1-2
2-3
3-4
4+

What is a GPA?*

Do you have future career plans?*

Yes
No

If Yes, give details:*

Have you ever been suspended or expelled from school?*

Yes
No

If Yes, give details:*

Hobbies and Interest:

Are you active in Sports?*

Yes
No

What are your talents? Explain*

Have you had run-ins with the cops?*

Yes
No

Do you attend church?*

Yes
No
Unknown

Do you like to read?*

Yes
No

Stability Factors:

Are you legal to drive?*

Yes
No

Do you have a vehicle?*

Yes
No

Are you employed?*

Yes
No

Do you get angry often?*

Yes
No

Do you like animals?*

Yes
No

Do you get along with your parents?*

Yes
No

Do you fight often?*

Yes
No

Do you use any types of drugs?*

Yes
No

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.

Fill out this part to send the application below to your potential boyfriend…

Send a Boyfriend Application - under 18

you

the potential boyfriend

The Boyfriend Application - under 18

Applicant Information

School Activities:

Hobbies and Interest:

Stability Factors: