Name
*
First Name
Last Name
Email
*
Age (As Of Today)
*
What City and State do you live in?
*
For Proximity
Ethnicity
*
Religious Faith/Beliefs
*
Political Beliefs
*
Height
*
Body Type
*
Thin
Average
Athletic
Fluffy
Tell us about yourself. This part is very important, and will be written in your profile for Members to view (please write in FULL sentences)
*
Educational Level
*
Bachelors Degree
Masters Degree
Doctoral Degree
Associates Degree
Other
College Attended (And Type of Degree Earned)
*
Employer
*
Occupation / Position
*
Do you smoke?
*
Yes
No
Sometimes
Do you drink alcohol?
*
Yes
Socially
No
Have you ever been arrested? (This does not disqualify you from membership)
*
Yes
No
Have you ever been convicted of a crime? (This does not disqualify you from membership)
*
Yes
No
Do you have pets? If so what kind.
*
Why do you believe your last relationship ended?
*
Do you want children?
*
Yes
No
Do you have children?
*
Yes
No
Have you been married before?
*
Yes
No
Hobbies, activities, ways of staying in shape/being active
*
3 Unique things about you (I won a Grammy, or I’m a gourmet cook)
*
Describe your ideal man.
*
What is your preferred age range for a partner?
*
40-45
50-55
55-60
60-70
Open To All
Describe your preference when it comes to race
*
Are you open to all races? Prefer one race?
Which is most important?
*
Looks
Personality
How important is sex to you?
Not even on my mind
Its somewhat important
Its very important
I believe intimacy should happen when...
The mood is right, there are no rules
When you decide to be monogamous
When you are married
Date
*
Please type in todays date
MM
DD
YYYY
CANDIDATE AGREEMENT
*
By submitting this form, I acknowledge and certify that the above information is true and correct. By submitting the below I certify that I am an un-attached single woman willing and able to be introduced to potential partners.
Terms and Conditions Agreement
1. The Nova Club is a privately owned, exclusive professional introduction and arrangement service. Candidates are selected only after an extensive interview and screening process. We reserve the right to deny any applicant for any reason. Not all individuals will qualify for the range of services offered by The Nova Club.
By submitting this interest form the Candidate agrees that he is at least twenty-one (21) years of age, single, legally separated, divorced, or widowed.
OTHER. This Agreement, accepted by you the Candidate upon registering with The Nova Club, contains the entire agreement between you and The Nova Club, including the Privacy Policy of The Nova Club. Unless otherwise explicitly stated, the Terms will survive termination of your involvement. This agreement shall terminate immediately and without notice if you breach any of the Terms, subject to the survival of all rights and reservations of The Nova Club. If any provision of this Agreement is held unenforceable by a court of competent jurisdiction, the Agreement shall be deemed amended to exclude the provision. The remainder of this Agreement shall then continue in full force and effect.
YOUR TYPED FIRST AND LAST NAME BELOW SHALL BE TREATED AS A BINDING ELECTRONIC SIGNATURE OF YOUR ACCEPTANCE OF THE ABOVE TERMS.
First Name
Last Name
My preferred age range for a partner is:
*
45-50
50-55
55-60
60+
I will date any age range, its about connection