AYTO Global Edition - Submission Form

Any information (including personal data) you provide to us will be processed for the following purposes: contacting you (if necessary), casting, assessing your suitability to participate in the show, producing the show, capturing footage and broadcasting the show on television, digital media and any other platforms (including social and digital platforms) in accordance with our Privacy Policy, which is available here https://www.viacomcbsprivacy.com/workplace-privacy-notice

Name *

First Name Last Name

Phone Number *

Country Code Area Code Phone Number

Email *

example@example.com

Current City/State/Province *

Current Country *

Social Media Link(s) *

Please Upload a Current Photo *

Briefly describe your personality *

Have you ever been in love? *

Why did the relationship end? *

How long ago did you break up? *

Do you feel you are ready to get in a serious relationship again? *

Do you speak fluent English? *

Yes No

Are you literate in English? *

Yes No

Are you at least 18 years of age? *

Yes No

Are you fully vaccinated against COVID? *

Yes No

Are you currently in possession of a valid passport? *

Yes No

Social Media Link(s) *

We may need to collect personal data from you, for the purposes set out above, relating to your mental health, physical fitness and health, sex life, sexual orientation, political opinions, religion, race, genetics, biometrics and/or criminal history (sensitive personal data). If you consent to us processing your sensitive personal data as explained above and in our Privacy Policy, please tick here to indicate. Please note that this consent may not be required in certain jurisdictions.

*

I UNDERSTAND

Signature *

Clear

Have you ever appeared on television before? If so, please list show title and air date below. *

If none, input N/A

ARE YOU THE ONE: GLOBAL EDITION