Kevin and Virginia have decided to try their hand at matchmaking....and they're looking for candidates to go on a date with Jason!

Are you interested? Just fill out all of the info below and email your application to mail@kvjshow.com with the subject line 'I Want To Date Jason'.

Note: Submissions sent to other email address, or to Facebook and Twitter, etc will NOT be considered.

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First Name:

Last Name:

Phone Number:

Birthdate:

Yes or No - Do you have any children?

If yes, how many and what are their ages?

What is your favorite food?

What is your favorite movie?

What type of music do you typically listen to?

Mayo or Miracle Whip?

List five of your passions and/or hobbies:

What do you do for fun on the weekends?

In 500 words or less, what are your views on spiritualism/religion?

Yes or No - Do you believe in aliens?

Please include at least one current (taken within the last three months!) photo with your submission. Good luck!

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