First Name *

Last Name *

Email *

City *

State *

What is your age? *

What is your height? *

What is your gender? *

What is your best contact number? *

What is your occupation? *

What is your IG Handle? (Write "N/A" if you do not have one) *

What is your Facebook link? (Write "N/A" if you do not have one) *

Do you have any children? If so, how many and what age? *

If you do not have children, would you like children? *

Marital Status *

How many times have you been married? *

How many times have you been engaged? *

What is your preferred dating age range? (Select all that apply) *

When was your last relationship? Why did it end? (in your opinion) *

What are your dating goals? (i.e. marriage, casual dating, long-term relationship but not marriage) *

Are you open to dating long-distance (out of state)? *

Are you open to dating long-distance (within your state)? *

What are you looking for in your partner? What are the 5 qualities they must possess? (Feel free to elaborate as desired) *

What are the physical qualities your partner must possess? (i.e. Height requirement? Level of physical fitness? Body shape?, etc) *

What would you say are your 5 best qualities? *

What would you say are 3 qualities you possess in which you could use some improvement? *

How important are finances for you in a relationship? (i.e. Does your partner have to earn at least six figures? White collar or blue collar preference? Open?) *

How would you describe your spiritual beliefs? Does your partner have to be the same religion as you? What is required of your partner when it comes to spirituality? *

What are your deal breakers when it comes to a relationship? *

Do you have any specific Covid-related restrictions or preferences? *

How did you hear about this casting? *

Please provide 3 photos (include one full-length photo) *

Please upload photo #2 *

Please upload photo #3 *

Please provide an introductory video. (up to 3 minutes only)
Please state your Name, Age, City, State and answer one (only one) of the questions below. (up to 90 seconds only) *