An application for the the position of 'Outside Man'

1. Outside Man Application
Applicant Information
Full Name:
Date:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
Country
Phone:
Date Available:
ZIP Code
Email
Desired
Compensation:
Health record No.:
Position Applied for : (Please check that apply from the following options)
YES
NO
YES
Sex Surrogate - to provide sex on demand?
Handyman i.e. doing odd jobs as needed?
YES
NO
YES
Sugar Daddy – to provide financial aid?
NO
Emotional companion with handholding?
Special talent , explain:
References
Please list three professional references.
Relationship Status
at the time?
Full Name:
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:
1
NO