Wally World-Significant Other Application

I figured since being in a relationship is like a job, might as well fill out an application for it.

Name(Last, Middle, First) ____________________________________________________
Address__________________________________________________________________
2nd Address_______________________________________________________________
Home Phone( )______________________
Cell Phone ( )_____________________
SS#__________________________ ( *IMPORTANT cause if they got bad credit then yo ass do too)
Date of Birth___________________
Person to Call in Emergency_______________________ Phone#( )_____________________

Please answer the following questions

Highest Level of School COMPLETED?_________________________________________

Are you employed(Y/N) If Yes, where______________________________________
Hourly pay rate_______ Hours a week________ Manger/Supervisor name____________________

Are You sexually active(Y/N) If yes, how many partners have you had? ____________
Have you been tested for any STD's (Y/N) Was it poaitive (Y/N) If Yes PLEASE!!!!!!!! EXPLIN IN THE SPACE PROVIDED BELOW

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are You Crazy?(Y/N) If Yes, PLEASE EXPLAIN IN THE SPACE PROVIDED BELOW


____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Do you have any Children (Y/N) If Yes, how many???____________

References- Please List two non- family members that i can contact in order to get to know you


Reference #1 Name_______________________________
Telephone Number_____________________
Occupation___________________________

Reference #2 Name_______________________________
Telephone Number_____________________
Occupation___________________________

All application will be processed with in the next 5 to 10 business days.