"We're casting for a new game show and are looking for a diverse group of contestants. We welcome applicants of all backgrounds. Please answer the below questions for a chance to participate."
Full Legal Name
*
First Name
Middle Name
Last Name
Professional Name if different from above
Gender
*
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Profession?
Current Job status?
Full time employment
Part time employment
Currently unemployed
Freelance
Student
TikTok
Instagram
facebook
Any Other social media
Are you available from January 20th 2025 all the way to April 20th 2025
*
YES
NO
Would you be able to spend 100 days away from your phone, loved ones, news or social media?
YES
NO
Is there anything that would prevent you from spending a 100 days in isolation?
previous media? Have you been involved in any other TV shows before? please give details below.
As part of the casting process, and to ensure the safety of all contestants during the 100 days of living together, we will require all participants to submit to a full background check. In light of that, have you ever been convicted of a violent crime? Please share details if so. Your answer will remain totally confidential and will not necessarily disqualify you from the casting process.
Are you happy for us to keep your contact info on file for any future productions?
YES
NO
Submit
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