The Official Girlfriend Application - Form

Sep 19, 2026

131

Official application form for a dating role, requiring full completion and honest responses to be considered. Applicants may attach photographs or supporting documents, and answers are subject to verification through online services and other methods. The form collects personal basics, contact information, and deal-breaker criteria covering identity, lifestyle choices, tattoos, piercings, convictions, and related history. It also requests education, beliefs, preferences, short-answer self description, relationship history, references, and a final certification authorizing checks while clarifying that submission does not guarantee selection.

LanguageEnglish

CategoryForms

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Section 1: The Basics

Section 2: Contact Information

Section 3: The Deal Breakers

Section 4: Getting to Know You

Section 5: Short Answer

Section 6: Relationship Background

Section 7: References

Section 8: Certification

The Official Girlfriend Application This application must be filled out in its entirety in order to be considered for the position that you are applying. Photographs or other attached documents may sway my opinion one way or the other; feel free to attach anything you think may help you gain this position. Keep in mind that you must be completely honest while filling out this form. Your answers will be checked through Google, Myspace, Facebook, and other methods Ideem necessary. Any false information gives me the right to immediately void your application. Section 1: The Basics Full Name Last First Middle Current Residence City State Zip Nickname Age Eye Color Natural Hair Color Current Hair Color Height Weight (Circle One) <100 lb >100 & <175 >175 Section 2: Contact Information Home Phone Cell Phone IM Name (Please specify service, AIM preferred) Email Section 3: The Deal Breakers | Yes No | | | --- | --- | | Are you or have you ever been a man?
Do you smoke and/or use other tobacco products?
Do you drink heavily on a regular basis?
Do you use any illegal substances?
Do you have any tattoos?
Do you whistle on a regular basis?
Would any of your actions with previous boyfriends be considered not “~~Beth ~~Justin Approved”?
Disregarding your ears, do you have any piercings?
Regarding your ears, are they gauged larger than 1/16th ofan inch and/or
might they set off metal detectors at airports or government buildings?
Have you ever been convicted of anything by a court of law?
Ifyou answered “Yes” to any of the previous questions, you may stop filling ut the application now as we are not currently interested in your services | | Section 4: Getting to Know You Current Level of Education (Circle One) High School Some College College Graduate What is your religious affiliation? What is your political persuasion? Could you explain what said persuasion stands for? Y N Do you have any siblings? Y N If yes, list their names and ages. What’s your all-time favorite movie? I’ve seen: (Circle all that apply) The Matrix Trilogy All 6 Star Wars Serenity Any season of Red vs. Blue Are you easily distracted by shiny things? Y N List your 2 favorite musical genres. Favorite sport and team (If any) Do you ski / snowboard or would you be willing to learn? Y N Do you currently have a source of income? Y N If yes, what is it? Your thoughts on time travel? Would the word “expressive” describe your face? Y N Section 5: Short Answer Describe yourself using three to four adjectives and zero to one noun. What is your idea of a perfect date, in three sentences or less? ____________________________________________________________________________ What characteristics of mine led you to apply for this position? | Explain why I should pick you as my girlfriend in one sentence. | | --- | | List any special skills you have that may be relevant to this position. | ____________________________________________________________________________ Section 6: Relationship Background List the details of your past three relationships, starting with the most recent. | Name of Boyfriend: | | | --- | --- | | Start Date: | End Date: | | Were you the: (Circle one) Dumper Dumpee | | | Reason for breakup: | | | Name of Boyfriend: | | | --- | --- | | Start Date: | End Date: | | Were you the: (Circle one) Dumper Dumpee | | | Reason for breakup: | | | Name of Boyfriend: | | | --- | --- | | Start Date: | End Date: | | Were you the: (Circle one) Dumper Dumpee | | | Reason for breakup: | | Section 7: References Please Supply three references and their contact information (Phone, IM, and/or Email) . | | | --- | | | Section 8: Certification I hereby certify that the information given by me in this application is true to the best of my knowledge, and I give you the authorization to verify it using any me

FAQs

What information does the application request in the basics section?

It asks for full name, current residence (city/state/zip), nickname, age, and physical details such as eye color, hair colors, height, and weight.

What topics are covered in the deal-breakers section?

It includes identity and lifestyle questions such as smoking or tobacco use, heavy drinking, illegal substances, tattoos, whistling, piercings, convictions, and whether prior relationship actions meet an approval standard.

How does the certification section affect the applicant?

Applicants certify the information is true, authorize verification by any appropriate means, acknowledge that submission does not guarantee selection, and understand the information will not be released to independent third parties.

Sep 19, 2026

131

Upload by Aria Callaghan