xjake88x

Applicants Full Name__Jacob

Applicants Nickname(s) Jake

Age _24____

Height__6'1"___

Weight__195____

Occupation _____Military________________________

Vision Score __Not sure what this is_______

Credit Score____775+______

Please state specific reason(s) for your last breakup: Her friends told her to. She wasn't right for me anyways.

Has a restraining order ever been filed against you? No

Have you ever been convicted of a felony? No

Do you currently have a drivers license? Yes

Have you ever been married? No

Have you ever undergone sexual reassignment surgery? No

Are you currently taking any medications? Tylenol

Do you have piercings/tattoos? Please specify where and how many: 2 tattoos, half sleeve tribal dragon on left arm and another small tattoo on left calf

Do you floss your teeth? Sometimes

Do you wax/shave your chest? Yes

Do you wax, shave, or pluck other regions of your body? Yes

Do you partake of recreation drugs? Which ones and how often? At this time I cannot confirm or deny any of this information.

Do you smoke cigarettes/cigars? No

How many drinks do you consume on average on a weeknight? I don't really drink anymore. Since I've been back in the states (2 months) I think I've had 5 beers tops.

How many drinks do you consume on average on a weekend? None

What time do you wake up on weekends? 8-9 AM

Which side of the bed do you prefer to sleep on? Whichever

How often do you travel for work? Here and there

How much time do you spend looking in the mirror per day? Not much.. Not too happy with what I see so no point in looking

Does it take you longer than fifteen minutes to get ready? Depends if I shower/shave. If I do then yes, if not no.

How many psycho ex-girlfriends do you have? 2 but I have not and will not be speaking to them ever again

How many exes are you still hooking up with? None

When was the last time you had sexual intercourse? ___ a few hours ago ____a few days ago __X__a few months ago ____a few years ago

How many porn subscriptions are currently in your name? None, why pay when it's on the internet for free?

Can you provide written documentation that you are free of STDs? If you really want yes.

Do you have any sexual dysfunctions that cannot be treated by a doctor? No.

How many one night stands have you had in the last six months? None

On average, how many women do you sleep with at one time? 1

Please specify all fetishes:

Are you a giver (and not necessarily in the financial sense)? Yes please

Check applicable sleep conditions: ___ sleep apnea ___bed wetting ___ sleep-walking ___sleep-talking ___random thrashing ____cover hogging: none of the above

Have you ever dated any of my friends or family members? Probably not

Have you ever been suspected of cheating on a former girlfriend? wife? One of my exes swore I was cheating but I was not

Will you dance? If I have too.... Unless you want to take ballroom dancing lessons which I'm totally down for! Just not into that club dancing stuff.

Do you own cats? No

Do you like garlic? Yes

Do you have children? No

Do you like children? Yes

Do you pay your child support on time? N/A

Do you live alone or with a roommate? Alone

Do you have a good relationship with your mother? Nope

Is she prone to mood swings or currently taking anti-depressants? She's psychotic and won't believe it so she refuses to get help

Do you wear cologne? Usually Old Spice or Axe body spray but I also like Cool Water (I think that's the name) cologne

What is your preferred mode of communication? _X__ text _X__phone ___email ___IM ___Post-It note __X__social networking site

Describe your perfect first date: Dinner, glow in the dark mini golf or Dave and Buster's, and a walk in the park or something. But that's me, I usually plan a date according to what the girl's interests are.


I ATTEST THAT THESE ANSWERS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF PERJURY.

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