Black Woman’s Application to date a Non-Black Man
Please submit this form via e-mail. Paper submissions will be rejected.

1.    Last Name ___________________  First Name __________________
2.    Date of birth_______________________

4.   Current Address_________________________
3.   Social security Number______________________
4.   Place of employment____________________
5.   Educational background from grade school to present day. Please include a summery of all term papers, essays, and any research project handed in as well as  a copy of any crayon and or pencil drawings created by you. For the latter see if your parents will part with the ones that are still on the refrigerator. ________________________________________________________

6. Membership in any and all social organizations. From age 18 to current.  We will need a list of every person you had contact with including current address, employment, marital, sexual orientation status as well favorite cartoons they watched at age 8.  Cartoons submitted from any other age will result in this application being destroyed._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Approximate net worth in dollars,  please convert from other currencies to US dollars if living over seas. Also we will need to most current London fix for any gold you are holding as well as the gold content of any jewelry you own.

8. Height_____________ Weight_____________ Dress size _______ Shoe size_______
9.  Hair texture_________________________________
Please include a full detailed explanation of your  hair care regimen to determine ease of explanation  and understanding for non-Black men. Any You Tube videos re. your hair are a plus. Also include a permission slip allowing non-black men to touch your hair.

10. Cooking skills. __________________________________________________________________
Can you cook the kinds of food that non-black men want to eat? List any and all types of cuisine that you can prepare from scratch and any cookbooks written by you. We will also need a list of every pot, pan and kitchen utensil in your possession as well as shopping lists and grocery receipts going back twenty years to determine if you have only been cooking soul food.

11. Extracurricular activities.
Please provide a list of stuff you think non-black men like to do we will check this against our extensive data base for completeness and accuracy. A score of less that 98% and you are toast.

12. Sex.
Have you had any? _________________
Date of last experience_______________
Did you like it?______________________
Did he like it?______________________
What were you wearing?______________________
Would you do it again with this/those partners?____________________
Have any video or audio?___________________________________
If not we will need a detailed, and we mean very detailed description of every act you engaged in while alone or with partners. Did we mention detailed.

13. Finally we need a list of references from you.  You will be graded on a point system. With higher points given to the number of non-black friends you have. Please attach a separate sheet with this information including photos, addresses, place of employment, marital status and credit information for each person.

For extra credit, if you have any of the same detailed information that we are asking for in question 12 for any of these folks please submit. Remember we really do want details.  Really, really.

Send this application in to the address listed on the cover letter.  If accepted you will be asked to come in for an interview at which time we will explain what will be expected as you enter the world of interracial dating. Good luck and remember those details.