Screening Form

1. Legal First and Last Name*

3. Within the last 14 days, have you had COVID or any of its related symptoms or felt ill in any way?*

Yes

No

4. How will you verify yourself? (Choose 1 or more)*

Pic of Photo ID + Pic of ID beside face

Employment Verification

P411 ID#

2 References from REPUTABLE providers seen in the last 12 months

Link to your personal/professional social media (i.e. LinkedIn, Facebook, etc.)

Hotel Room Method (Must book a hotel room and provide your legal name so I can be connected to you through front desk. They have your personal info if anything goes wrong in the end.)

50% Deposit via etransfer (shows your legal name or business number), Bitcoin, OR Credit/Debit card via Throne if prebooking days in advance

5. Verification details*

6. By submitting this form, you agree that you are at LEAST 21 years of age, you understand my cancellation policy, you understand that any investment made towards me is for my TIME ONLY, you understand and that I'll most likely require a deposit from you. You also agree that Melissa Carter shall not be held responsible if you fail to properly read this agreement before submitting!*

Yes, I Agree!

7. "Melissa Carter, you can rest assured that I am a complete gentleman. In fact, I am so safe for you to see that I'm willing to bet my real life information that I will not harm/abuse you and I will ensure that in my presence, your safety and peace of mind is a priority to me. I understand that this is a fair trade between us and all information I submit will be discreet and later destroy if I successfully prove myself a safe gentleman."*

Yes, I agree to these statements!

** Please Note Before Submitting!**

If submitting photo ID, please only send it to my encrypted email address for added protection to your information: book.mcarter@protonmail.com

Screening Form

Thank you for screening with me! This is a very important step in booking me. If you do not mean me any harm and you have done enough research on me to be certain that I'm a professional, then you have absolutely nothing to stress about in providing this information! If we have never met then please take the time to fill out this form so I can feel confident that you are a sane and sound person who simply wants to enjoy a good without a dark and hidden agenda towards me or people like me who work in this industry.