Dating Application

Note: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, lineage, and current medical report from your doctor. Please be prepared to submit additional information like a psychological profile and polygraph test as required.

Name: __________________________________________ Date of Birth: ________________

Height: _________________ Weight: ______________ I. Q. ________ GPA: __________

Social Security #: ______- _______- _______ Driver’s License Number: ______________

Boy Scout Rank: _______________________ Threshold for Pain: High/Low? ____________

Do you have one MALE and one FEMALE parent? _____________ If no, explain: _________

How fast can you run the 40-yard dash? ____________ How fast can you run 2 miles? ______