For The Single Sista's...

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Thought this was funny and that you would enjoy:


THE NEW WAY TO APPROVE A MAN!


Dating Application

Name _________________
Last First ______________
Middle ________________
Address __________________________________________________
City _________________________ State _____ Zip _________
Home # _________________ Cell# __________________



Are you saved (accepted Jesus as your personal Savior)?
Circle Yes or No.

Do you live with any of the following: (circle)

Grandmother Parents Mother
Father Girlfriend

Baby Mama Alone Shelter
Wife Auntie Other _________________


Weight _______ Height ________ Ethnicity: Black Hispanic
White Other_________________


Date of Birth ______________ Age ____ SS# _____-___-_________

Any Children (circle yes or no) yes no If
yes, how many _______

How many Baby Mamas? _________

If more than one, please name below. Use separate sheet of paper if need
more room.

1. __________________________________________________ ___________
2. __________________________________________________ ___________
3. __________________________________________________ ___________

Ever been married (circle ) yes no If yes, how many
times? _______

Are you or have you ever been on the Down Low? (circle one) Yes
No

Do you owe child support? (Circle one) Yes No Don't Know
*If your ex is getting state benefits (childcare, food stamps, etc),
then
you owe somebody something. Especially
tax payers. Stop here and go take care of your dang kids.

*Please use a separate sheet of paper to compile a list of goals and
accomplishments.

Did you graduate from high school? (circle one) yes no
Name of high school (if yes)
__________________________________________________ ________

Have you received any of the following? (Circle One)

GED Diploma Nothing

*If you did not complete any of the above, please stop here and return
to
school.

Any college? (circle one) Yes No Still
Enrolled
Graduated

Have you ever been to jail? (circle one) Yes No
If yes, what for? (be very detailed)

__________________________________________________ ______________________
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Have you ever been to prison? (circle one) Yes No
*If you have answered ye s to the above question, please STOP HERE and
call
your P.O. immediately.

Employed? (circle) yes no
*If no, please stop here?

If yes, where and how long?
____________________________________
__________________________________________________ _____________
__________________________________________________ _____________

Do you have health insurance? Yes No

When did you last visit the dentist? ______________________________

When was the last time you have been to the doctor?
__________________

What for? __________________________________________________ ____
__________________________________________________ _____________
__________________________________________________ _____________

List any (all) illnesses. Use separate sheet of paper if needed.
__________________________________________________ _____________
__________________________________________________ _____________
__________________________________________________ _____________
__________________________________________________ _____________


Do you have or have you had any of the following? (please circle all
that
may apply)

Hep A; B or C Herpes Mononucleosis
HIV/AIDS The Bird Flu West Nile Virus
Crabs
Chlamydia Gonorrhea SARS Head Lice Ringworms
Boils A cold S ex Change
Shingles
Something that you can't spell Meningitis
Measles
Mumps Ebola Virus
Bunions


*If you have circled any of these, do NOT turn in your application. See
the doctor immediately and leave me the heck alone.


Do you or have you ever used (ingested in any way) any of the following:
(circle all that apply)

Crack/Cocaine Heroin Paint
Markers

Ecstasy Glue Bad pills
Snuff Anything under the kitchen sink

By signing below, you agree that all of the information given above is
true to the best of your knowledge. For my protection, you may be asked
to provide the following information upon request: state ID, birth
certificate, recent payroll stub, a recent clean bill of health from a
certified physician or practitioner. Falsifying information may result
in
termination of this relationship (if applicable), and a severe butt
whooping by my project cousins Pookie, Ray-Ray, Darnell, Lil Krazy or
all
of the above.

Applicants Signature _______________________________

Print Name ______________________________________

Date _______________________________