Apply To Be a Date

CALLING ALL SINGLE MEN!

Do you want to be one of the new featured dates in Season 4 of 50 Dates 50 States? Well, now’s your chance! Shoot your shot and fill out the date application below for your chance to be a new date and represent your state!

Due to the volume of applications we receive we will not be able to get back to everyone on if you weren’t selected. Make sure you are following 50 Dates 50 States on on TikTok and Instagram to keep up to date on if your state is picked!

Your First Name

Your Last Name

Your Email Address

Your Phone Number

Your Date of Birth

Your Instagram Username

Your TikTok Username

What State Are You Submitting For?

What City Are You In (Or Near)?

Are You Currently Single?

Tell Us a Little About Yourself

We want all dates to be as unique and entertaining as possible. If selected as a date, what kind of date would you plan?

In your own words, why should you be picked as the date in your state? What makes you different from the other men applying?

Why do you think you would be a good match for her specifically?

What is one green flag you bring to the table in relationships/dating?

What are you hoping to get out of this dating experience?

Are you comfortable being on camera and posted on social media?

Do you have reliable transportation to and from the date?

Due to the tight season schedule your day of the date might fall on a weekday or weekend which you would know in advance. How flexible is your schedule to make that work?

Are you comfortable going on dates?

Do you have any special talents or skills?

Have you ever been charged with a criminal offense?

If selected, would you consent to a background check?

Is there anything else you want us to know about you?

Please submit a picture of yourself.