Where Did You Find Me?
Proof of Your Identity
Please Upload a Photo of your State Issued Drivers Liscence/Identification Card OR Passport. If you want to you may upload photos of both your State Issued Drivers Liscence/Identification Card AND Passport. If you wish to provide additional Proof of Your Identity you may OPTIONALLY Upload Photos of your Military ID and/or your University/College ID Card.
OPTIONAL PROOF OF IDENTITY UPLOADS:
With your self-created Selfie Document in hand take your Selfie Photo in a well-lit area (like the bathroom).
Your Selfie Document must have your Name, Today's Date and the words "I am NOT a Cop" written with a black or dark colored pen or marker or typed.
You will submit your Selfie below.
Please provide your User Name/Handle or Direct Link to your Linked In Account.
Please provide your User Name/Handle or Direct Link to your Facebook Account.
Additional Social Media Accounts
If you are an Active and Established Member of any other Social Media Websites and would like for them to be considered along with your Facebook and/or Linked In Memberships you may list up to 5 additional Social Media Account Links below, in the spaces provided. Examples of other Social Media Accounts are Tumblr, Twitter, Pinterest, Instagram, Reddit, Quora, Kik, Snapchat, What's App etc.
For Employment Verification you will need to select and submit at least one item from the following three options. You may submit more than one of the items or all three.
The more information you provide, the more likely you are to be approved for a session:
A Photo of your Company Issued Employee Badge .
A Photo of your Business Card.
The link to a page on your Company's Business website that provides your Contact Information.
Advance Scheduling and Pre-Payment
Please provide the date and time you would like your session to take place, as well as one alternate date and time, in case your first choice is unavailable.
When selecting the date for your session, please keep in mind that it cannot be any sooner than one week from today's date. Also please note that while I will meet you at any time of the day or night my preference is for sessions to take place between 3 pm and midnight or 3 am to 7 am.
You may either provide Exact Dates/Times or a Range of Dates/Times during which you will be available for a session or both Exact Dates/Times and a Range of Dates/Times.
Your Preferred/First Choice of Session Dates/Times:
An Alternate Session Date/Time:
You have successfully completed the Screening Form!
Please note that not everyone who completes the Screening Form will be approved for a session.
If you receive a Denial Notice, it is a permanent action, one that will not be reversed under any circumstances, so please just accept it and move on.
I reserve the Right to Refuse to spend time with and/or provide service to anyone, at anytime, for any reason, and am under no obligation to explain that decision.
Session Approval is a privilege NOT a right.
I do not discriminate based on race, though you may not be seen if you are under 35 years old.
Thank you for taking the time required to complete the "Screening Form"! Hopefully, we will meet one day very soon!
Submit Your Form!
To have your responses recorded and sent to me, you must click on the "Submit" button, below.
If you do not click on the "Submit" button, below, your answers will not be recorded and will be lost.
To ensure that your form is received and processed, you must click the "Submit" button, below, following this paragraph!