1. What is your name?
2. What position are you applying for?
_ Full Time _ Part Time
3. Are you legally eligible to work in Canada?
4. Have you ever been convicted of a crime in which you have not been pardoned?
5. Are you a smoker?
6. What is your availability:
7. What do we have in common?
8. Why do you want to be my Valentine?
9. What kind of hobbies do you have, if any?
10. Valentine History:
Please give a brief summary about your history as a past Valentine:
11. Valentine References:
Please leave past Valentine contact information here.
Signature____________________________ Date: ________________
Sarah thanks all applicants for their interest, however, only applicants that are being considered will be contacted.