• SCREENING FORM

  • The Basics

  • Screening Information

  • Student Verification

    Please provide your student ID and student .edu address below
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  • ID Verification

    Please provide a copy of your unexpired government issued ID in the field below. Driver's licenses, state IDs card and passports are gladly accepted. For your privacy and safety, I recommend that you cover/black out information such as your license/ID number, SSN (if applicable) and your full address. Just your name, birthdate, city/state and picture need be visible.
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  • References

    I only accept references from established independent providers. Agency references will not be accepted. Please provide two recent references from the past six months or three from the past year in the fields below. You must include their names, emails (no phone numbers), websites, ads and/or social media links along with where and approximately when you last saw them (a city and month/year is fine). Applications without this information will be ignored.
  • Employment Verification

    Please provide at least TWO of the following options.
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  • P411 Membership

  • Additional Screening Information (Optional)

    While not mandatory, additional information may expedite and streamline the screening process if available. Examples of helpful supplemental information include links to social media (Facebook, Twitter, Instagram, etc), personal blogs/websites or your Private Delights handle. But again, this is completely optional.
  • Appointment Details

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    Pick a Date
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  • All About You

    Use this field to tell me more about you! I'd love to learn more about your favorite movies, books, music, drinks, hobbies, etc. You may also include any particular interests, wardrobe preferences or pertinent health/mobility information (ex: a wheelchair accessible space will be required).
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