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FIRST NAME
LAST NAME

ADDRESS (P.O. box NOT allowed)

CITY / POSTAL CODE

HOME TELEPHONE NUMBER CELL NUMBER
PRIMARY EMAIL ADDRESS BACK-UP EMAIL
FACEBOOK SCREEN NAME

TWITTER NAME

BIRTH DATE

AGE
HEIGHT
GENDER
HOW DID YOU HEAR ABOUT US
       

Please tell us, in your own words how your friends would describe you in a social (i.e. party) setting

When it comes down to your downtime at home , tell us what activities gives you the most pleasure

Define for us what it means to be socially networked. What do you enjoy doing on networking sites

Talk to us about your last experience in front of a camera, both photography and video wise

Tell us how many friends you have on all the websites below, if applicable

TWITTER  
FACEBOOK  
FRIENDSTER  
MYSPACE  
OTHER WEBSITE
     

Tell us which one of the competition samples below is of most interest to you

COOKING  
DANCING  
DEXTERITY  
TASTE TEST  
MEMORIZATION  
YOUR SUGGESTION  
     

TRUE or FALSE… Do you have a modeling/acting portfolio that INCLUDES a VIDEO DEMO REEL

True False
 

Which of the following TELEVISION theme possibilities would YOU have the most interest in being cast in?

school's out (schoolwork subject)
its time to rock (music subject)
a pie is a pie is a pie (cooking subject)
when fashion needs no introduction (clothing subject)
bopping for fruit is no laughing matter (party subject)
its time to memorize my “ mojo ” code (memory subject)
my FACEBOOK against your FACEBOOK (networking subject)
 

my THEME suggestions are

1 st ONE
2 nd ONE
3 rd ONE

FROM 1 TO 10, please rate the following statements (1 is absolutely TRUE // 10 is absolutely FALSE)

I have been told I have a temper  
I prefer to be told what to do than take the lead  
I plan on inviting as many of my friends to attend the episode taping  

If cast, I want to be able to use the TV footage for self promotion

 
I consider myself very “ videophotogenic ”  
     
AND FINALLY, tells us what would make you an entertaining cast on the show… Why should we pick YOU!