Must be 21+
Please do not use VoIP or text apps such as Google Voice
City & State of Residence
Street Address Line 2
State / Province
Postal / Zip Code
I would like a reply via...
Email Preferred, But Text is OK
Text Preferred, But Email is OK
Either is OK/No Preference
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 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.
Please Upload a Copy of Your ID Here
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.
Please provide at least TWO of the following options.
LinkedIn Or Personal Listing on Your Company's Website
Must have a profile photo and at least 200+ connections
Direct Company Email
Direct Phone Number (include extension if applicable)
Your Work ID/Badge
Your P411 Number
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.
Where/How Would You Like to Meet?
Another Homebase City (Drive Me To You)
Fly Me To You
Incall or Outcall?
Drive Me To...
North Carolina Outside of Charlotte or South Carolina (3 Hour Minimum)
Savannah GA, Atlanta GA, Athens GA, Augusta GA, Chattanooga TN, Knoxville TN (4 Hour Minimum)
Roanoke VA, Richmond VA, Norfolk/Virginia Beach, Charlottesville VA, Macon GA, Nashville TN (6 Hour Minimum)
Fly Me To (The)...
Northeast (4 Hour Minimum)
Southeast (4 Hour Minimum)
Midwest (6 Hour Minimum)
Northwest (8 Hour Minimum)
Southwest (8 Hour Minimum)
Alaska, Hawaii, Canada, Mexico or Puerto Rico (Overnight Minimum)
Any Other International Destination (48 Hour Minimum)
In Which City and State Shall We Meet?
When Would You Like to Meet?
Please provide at least 24 hours notice
1 Hour (Touring Only)
1.5 Hours (Touring Only)
2 Hours (Charlotte Min)
15 Hour Overnight
Over 48 Hours
Is this date/time flexible?
Please Use This Space to List Alternate Dates and Times
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).
If you have any areas of study that are of particular interest to you, or you have any particular requests please share here!
Your Favorites & Hobbies
Ex: Favorite books, movies, music, food, drinks, etc
DEPOSIT & CANCELLATION POLICIES
I understand that a deposit is required, and I have read, understand and accept Gem DeMilo's deposit and cancellation policies.
Should be Empty: