Bachelor/Bachelorette Submission Form

 

Name of Bachelor/Bachelorette
Phone
Email Address
Occupation
Age
 
Tell us why you're nominating this bachelor/bachelorette.
What are the most unique things about him/her? Job, charity work, special talents? 

What's your favorite thing about this bachelor/bachelorette?

Why is he/she still single?

Why should we choose him/her to be one of our Most Eligible?

Nominated By:

Name:
Phone:
Email:


    

For your nominee to be considered, you must send a photo of him/her to
cupid@providenceonline.com when you send this nomination form!