First Name *

Last Name *

Phone Number* *

Email *

City *

State *

Gender*

Age*

Height* *

Relationship Status *

Please list ALL your social media handles (provide a link). *

What's your occupation/profession? *

Have you ever been married or engaged? Please explain. *

What are your hobbies and interests? *

Do you have children? If yes, please provide ages. *

Why do you think you are single ? *

Upload a recent nice photo of your face - no sunglass, no hats, no filters and facing the camera. *

Please upload recent (within the last 6 months) clear photos. They do not have to be professional, but please have great lighting and include at least one full body, one headshot/ selfie. *

Please upload clear photos. They do not have to be professional, but please have great lighting/ a photo of you that shows your personality/interests and include at least
- one full body,
- one headshot/ selfie. *

Please upload clear photos. They do not have to be professional, but please have great lighting and include at least one full body, one headshot/ selfie. *

Please upload a 1-2 minute video introducing yourself and telling us why you're ready to find love. *

Have you ever been featured on television? (Y/N)
If yes, please share details.

If selected, are you available for filming during the period of August 22, 2026, through October 9, 2026? *

How did you hear about this project? *

Any additional notes you would like to share?????