CONFIDENTIAL An Elite network for culturedand perfect gentle men.All information providedhere are confidential Submission Form Men, begin your journey by completing the form provided below. For Men Welcome Become a Client Joining My Person Apply Privately Advice for Men Help & Answers Name *Email Address *Phone *Birthdate *Facial Photo *Choose FileNo file chosenDelete uploaded fileUpload Facial PhotoWould you want to meet our matchmakers in person?----YesNoMy Gender *Please select an option----ManWomanMy HeightMy Hair & Eye Color:Please select your hair & eye colorDark Hair / Dark EyesDark Hair / Light EyesLight Hair / Dark EyesLight Hair / Light EyesIntrovert/Extrovert Scale (1-10)10 = outgoing and socially confident, 1 = shy and doesn't initiate conversationsMarital Status----Never MarriedDivorcedSeparatedWidowedMy Ethnicity----White/CaucasianBlack/AfricanLatino/HispanicEast AsianMiddle Eastern/ArabIndian AmericanSouth AsianEuropeanMixedDo you want children?YesNoDo you currently have children?YesNoAge of KidsSeparate with commasWhat is the relationship like with your ex?How did you hear about us?Have you ever worked with a Matchmaker?YesNoIf Yes, show Experience DetailsExperience Details (What was your experience? What year? How much did you pay?)How do you feel about online dating?----I love online datingCurrently using apps/sites but unsuccessfulHaven't tried it but open to itTried it but unsuccessfulI am too private to be seen onlineApplying for----Paying ClientJoining you free networkGender you are interested in dating----ManWomanWhat is your relationship goal?What is more important?What ethnicities would you date?----White/CaucasianBlack/AfricanLatino/HispanicEast AsianMiddle Eastern/ArabIndian AmericanSouth AsianEuropeanMixedWhat Faith/Religion would you date?----ChristianCatholicIslamHinduBuddhistNon ReligiousProtestant/EvangelicalMormon (LDS)BaptistJehovah's WitnessOtherOpen to allPreferred Height Range of Your PartnerPreferred Age RangeWill you date someone who has children?YesNoDescribe your ideal matchWhat areas would you date in?----United StatesLos AngelesOrange CountySan DiegoSilicon ValleyNew YorkTexasSeattleFloridaChicagoTorontoVancouver, BCLondonDubaiAsiaNigeriaDenverTennesseeIdahoOregonMiddle EastAdditional locations you would like to date inHow many miles are you willing to travel to meet someone?Would you be willing to relocate?YesNoTell us about yourselfMy Instagram HandleDo you drink?NoYes, sociallyYes, regularlyDo you smoke?NoYes, sociallyYes, regularlyDo you do drugs?NoYes, otherYes, 420Do you have pets?NoYes, dogYes, catYes, otherMy Income----Below $50,000$50,000 - $100,000$100,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $1,000,000Above $1MMy Net-worthBelow $100,000$100,000 to $500,000$500,000 to $1M$1M to $5M----$5M -to $10M$10M to $50M$50M to $100MAbove $100MCity, State, Country of BirthDo you speak any other languages? Do you have an accent?My Faith/Religion----ChristianCatholicIslamHinduBuddhistNon ReligiousProtestant/EvangelicalMormon (LDS)BaptistJehovah's WitnessOtherDo you own or rent your home?----Rent, live aloneRent, live with roommateOwn, live aloneOwn, live with roommateFavorite activities/hobbiesMusic, Movies, and Books You EnjoyFavorite colorWhen was your last relationship, how long was it, and what did you learn?One Unique Thing About YouMajor Injuries / Medical Issues? (Taken pills regularly? Antidepressants? What years & how long?)Have you been convicted of any crimes? Do you have any pending lawsuits? Have you needed help for any addictions? Sex, alcohol, etc. What will your background check tell us about you?CollegeEducation Level----High School GraduateBachelors DegreeGraduate DegreePhD/EdD/J.D/M.DOccupation/PositionEmployer NameHow long have you worked there?HeightSend Message