outside man application
Post on 18-Jul-2015
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Outside Man Application
Applicant Information
Full Name: Date:
Last First M.I.
Address:
Street Address Apartment/Unit #
City Country ZIP Code
Phone: Email
Date Available: Health record No.: Desired
Compensation:
Position Applied for : (Please check that apply from the following options)
Sex Surrogate - to provide sex on demand? YES
NO
Handyman i.e. doing odd jobs as needed? YES
NO
Sugar Daddy – to provide financial aid? YES
NO
Emotional companion with handholding? YES
NO
Special talent , explain:
References
Please list three professional references.
Full Name: Relationship Status
at the time?
Service Offered: Phone:
Address:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature: Date:
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