Thank you for you interest for the position of Shannon's boyfriend. This is temp/seasonal weekend position requiring approximately 6-10 hours per week. Unfortunately I am unable to offer benefits of any kind at the present time. Please answer all questions honestly as you will be judged on your response. You can submit your application electronically at my email address along with any pictures. Pictures should be full frontal, clothed and could ultimately sway my decision. All applicants must consent to a full credit and criminal background check as well as a drug screening and STD check.
______________________________ ________________
Full Legal Name Date of Birth
____________________________ __________________
Please list any alias Social Security Nu mber
Section 1
Please circle your response:
1. Are you currently in any kind of committed relationship? (I.e. married, steady girlfriend, girlfriend, internet relationship ext…) YES NO
2. Do you live in your parents basement? YES NO
3.Do you have children by more than 2 women? YES NO
4.Have you ever been convicted of a crime? YES NO
If so please explain:
Please note that by indicating yes this does not immediately disqualify you from employment. The circumstances surrounding the incident, your age, other mitigating circumstances and the nature of the crime (unless it involved a computer, minors, and/or animals) will be considered.
5.Do you have any mental disorders or physiological conditions that require you to be medicated or "act out" in unusual ways? YES NO
6.Have you ever been sexually molested? YES NO
If yes have you or are you receiving treatment? YES NO
7. Are you unemployed? YES NO
If you have answered yes to any of the questions in section 1, thank you for your interest in the position. Unfortunately you do not meet any of the minimum requirements at this time. Your application will be kept on file for 6 months.
Section 2
Please circle all that apply:
Do you:
Watch wresting and then act it out it in your living room or on your partner?
Have a towel or any other security items that you sleep with?
Play video games more than 4 hours a week
Watch porn more than 2 hours a week
Play Rambo in the backyard with a bb gun?
Play dungeons and dragons or any other role playing games?
Play online computer games non stop?
Have good hygiene?
Do you enjoy reading?
Like movies?
Are you a picky eater?
Have a good sense of humor?
Have friends that would consider you a douche bag?
Drink
Smoke
Like sports?
Like your family?
Do they like you?
Like dogs?
Please list any hobbies and general interests:______________________________
Please list favorite movies:____________________________________________
Please list favorite books:_____________________________________________
Have you ever cheated?
If yes, how many times and did you get caught:_______________
Please describe your job:__________________________________
Please describe your living arrangements:___________________________
Please list your life goals;____________________________________
Did you attend college? YES NO
Section 3
Do you want children? YES NO
If yes would you willing to consent to a medical examination to confirm fertility status? YES NO
Have you ever been married? YES NO
If yes please provide contact information for your ex-wife:______________________________
How often do you see your ex?
1. Never-she disappeared under mysterious circumstances after the divorce
2.From a distance-the restraining order only allows 500 ft.
3. Occasionally
4. We still live together
5.Never
Are you a widower? YES NO
If yes for how long?
Please provide cemetery information so status can be verified_________________
Do you have a penis? Yes No
(Answering no will not necessarily disqualify you, provided that you can compensate for your inadequacy.)
How do you plan to compensate?____________________________
(Feel free to attach photographs and/or diagrams.)
Section 4
In the event that a full time position become available please answer the following:
Do you currently have any STD's? YES NO
If yes are the contagious?
Will they go away if treated with antibiotics?
Do you have any medical conditions that would prevent you from engaging in obscenely long sex sessions? YES NO
If yes please explain:_______________________________
Do you wear socks when you have sex? YES NO
If yes do you give permission for them to be used as a ball gag?
If yes please explain how you feel about erotic asphyxiation: ___________________________________________________________
Do you enjoy giving oral sex? YES NO
Please list top five favorite positions: _________________________________________
I hereby attest and do solemnly swear that all answers are true and correct to the best of my knowledge. I give my consent to have any preliminary background checks performed including a polygraph.
Name_____________________________ Date____________
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