PROVIDER APPLICATION

Apply to OnlyDimes.

Complete each section carefully. Submitting an application does not make a profile public; admin approval is required first.

STEP 1

Identity & contact

Legal first nameLegal last nameEmail addressPhone numberDate of birthPreferred display nameCityState

STEP 2

Public profile information

OccupationProposed rate

HeightBuild

Professional customer-facing biographyDate / experience descriptionProfile photos

＋Upload classy profile photographyProduction uploads will be optimized and may require admin approval.

STEP 3

Availability & booking preferences

MondayStartEnd

TuesdayStartEnd

WednesdayStartEnd

ThursdayStartEnd

FridayStartEnd

SaturdayStartEnd

SundayStartEnd

Minimum noticePreferred setting

STEP 4

Eligibility & agreements

I confirm I meet OnlyDimes' final age and eligibility requirements. I confirm that my profile information and photography are accurate and lawful. I understand OnlyDimes is a legitimate dating/date-experience marketplace and does not permit prostitution, sexual services, trafficking, coercion or illegal activity. I agree to the current Provider / Member Agreement. I agree to the Community Standards, Terms and Privacy Policy.

Verification documents

＋Upload requested verification documentsExact production requirements will follow final business policy and legal review.

Agreement versionProvider Agreement v1.0 • August 2026Production acceptance will record version, timestamp and appropriate audit metadata.

STEP 5

Review before submitting

Application typeIndividual Provider

Public accessRequires Admin Approval

LocationCity + State Assignment

AgreementVersioned Acceptance

Submitting does not publish your profile. An administrator must review and approve the application and profile before public booking is enabled.

Submit Provider Application