Must be 21+
Secondary Email (Optional)
Primary Phone Number
Please do not use VoIP or text apps such as Google Voice
Secondary Phone Number (Optional)
If you prefer to be contacted on a different number than your primary phone number, please use this field.
City & State of Residence
Street Address Line 2
State / Province
Postal / Zip Code
I would like a reply via...
I found you on...
I will be using the following screening method:
Please provide your student ID and student .edu address below
Please Provide a Copy of Your Student ID Here
Please provide a copy of a government issued ID in the field below, such as a driver's license, state ID card or passport. For your privacy and safety, you may cover/black out information such as your license number, social security number and your full address. Just your name, birthdate and city/state need be visible.
Please Upload a Copy of Your ID Here
Please provide two recent references from the past six months or three from the past year in the fields below. Include their names, websites, ads and/or social media links along with where and approximately when you last saw them (a city and month/year is fine). I only accept references from independent providers. Agency references will not be accepted.
Please provide at least two of the following options
LinkedIn Or Personal Listing on Your Company's Website
Direct Company Email
Direct Phone Number (include extension if applicable)
Is Your RS-AVS membership Information the same as the information listed above?
Please list your RS-AVS information here
Additional Screening Information (Optional)
While not mandatory, if you have any additional information that would be helpful you are welcome to provide it here. Examples include links to social media (Facebook, Twitter, Instagram, etc), personal websites, Preferred 411 number or Private Delights profile.
I am looking for an appointment that is...
Chicago Based Incall
Schaumburg Based Incall
Chicago Area 3+ Star Hotel Outcall (+$100-$200 depending on location)
Touring 3+ Star Hotel Outcall (+$200)
Fly or Drive Me To You
Where Would You Like To Meet?
When Would You Like to Meet?
Please provide at least 24 hours notice
1 Hour (Touring Only)
3 Hours (FMTY Minimum)
14 Hour Overnight
Is this date/time flexible?
Please Use This Space to List Alternate Dates and Times
All About You!
The fun but totally optional part!
Tell Me A Little More About You!
If there's anything you'd like me to know about you, please do share! This can also include any pertinent health information (ex any disabilities you may have)
If you have any areas of study that are of particular interest to you, or you have any particular requests (ex adding 420 to our course) please share here!
Your Favorites & Hobbies
Ex: Favorite books, movies, music, food, drinks, etc
Deposit, Cancellation and Rescheduling Policies
I have read, understand and accept Professor DeMilo's deposit, cancellation and rescheduling policies.
Should be Empty: