Spark with Purpose Application
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Age
*
Gender
*
Male
Female
Height
*
City & State of Residence
*
Are you open to a long-distance relationship?
Yes
No
For the right person
Social Handle (s). Optional but encouraged.
What are your interests or hobbies?
*
What's a weird or hidden talent you have?
What are your relationship dealbreakers?
*
Do you have children? If yes, how many and what are their ages?
*
Are you part of a religion, if yes, which one?
*
Are you open to dating someone with children? Please explain why or why not?
*
What are you looking for in a partner?
*
Have you ever been on a podcast or filmed for content before?
Are you comfortable being featured in video and audio content on public platforms?
Why are you interested in being on our Podcast?
*
Please upload a selfie and a full body photo of yourself
*
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Disclaimer: By submitting this form, you acknowledge that your information may be used to contact you for participation in a recorded video dating segment on the Sidetracked with Purpose podcast. Submission does not guarantee selection. If selected, a media release waiver will be required prior to participation.
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