Documente Academic
Documente Profesional
Documente Cultură
APPLICATION
At this point there is no absolute application deadline. However, Producers reserve the right to stop accepting
applications without notice so Producers highly encourage applicants to submit applications as soon as possible.
Semi-finalist interviews will be determined by Producers at their sole discretion.
Please read the Eligibility Requirements/Application Instructions before completing this application. And
remember, above all else, you must BE HONEST! Any answer may be verified for accuracy. Don't answer a
question hoping to give us the answer we "want" to hear.
MALE
FEMALE
MARRIED
DIVORCED
WIDOWED
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(1)
Social Security Number _____________________________
Drivers License Number _____________________________
(2) Name, Phone Number, and Address of your Best Friend.
______________________________________________________________________________
(3) Name, Phone Number, and Address of the Relative that lives closest to you.
______________________________________________________________________________
(4) Name, Phone Number, and Address of an Emergency Contact for you (if different from 9a).
______________________________________________________________________________
(5) Relationship/Marital Status (Circle one and answer questions as applicable)
SINGLE
BOYFRIEND or GIRLFRIEND
MARRIED
SEPARATED
DIVORCED
WIDOWED
(6) If you are married or in a relationship, how would you rate your relationship on a scale of
1-10 (1 being worst, 10 being best)? Please explain.
______________________________________________________________________________
______________________________________________________________________________
(7) If you are married or in a relationship, how will your partner feel about the potential 3-month
separation?
______________________________________________________________________________
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______________________________________________________________________________
(8) What is the highest level of education youve completed? (Circle one and answer questions
as applicable)
GRADE SCHOOL
HIGH SCHOOL
(9) What school(s)/colleges(s)/university(ies) have you attended/are you attending? (Include the
city and state.) If youre currently a student, tell us about your major(s) or course of study.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(10) Are you now serving, or have you ever served, in the military (U.S. or otherwise)? If so,
please describe which branch of the military, your serial number, highest rank, and when and
where served. If youve left the service, when were you discharged and why? Was it an
honorable or dishonorable discharge?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(11) Are you a professional performer within the entertainment industry? If so, what do you do?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(12) Do you have any acting, singing or performing aspirations? If so, tell us your wishes and
goals.
_____________________________________________________________________________
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_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(13) Have you ever appeared in any television programs or films or movies or commercials or
advertisements of any kind? If so, please provide details and describe when you made such
appearance(s).
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(14) Have you ever been arrested, charged with a crime, and/or been subjected to disciplinary
charges of any kind (whether through a private or public entity)? If so, please describe the
circumstances of the arrest(s), and the charge(s) and/or accusations (include dates and locations).
Were you convicted or disciplined, and, if so, in what way?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(15) Have you ever had a restraining order issued against you? If so, tell us about it (include
dates, city & state).
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(16) Have you ever had a restraining order issued against someone else? If so, tell us about it
(include dates, city & state).
_____________________________________________________________________________
_____________________________________________________________________________
(17) Have you ever been involved in any litigation? Are you involved in any pending litigation?
If so, tell us about it (include dates).
_____________________________________________________________________________
_____________________________________________________________________________
(18) Are there any nude or other revealing or compromising images of you that are available
publicly either through the Internet, video or otherwise? If so, please describe and explain.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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(29) Have you had any particularly interesting occupation(s) in your past? If so, tell us about
it/them
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(30) Do you have any pets? If so, please list their name(s) and type(s).
_____________________________________________________________________________
_____________________________________________________________________________
(31) Are you a vegetarian? Do you have any food limitations (e.g. allergies, religious, etc.)?
_____________________________________________________________________________
_____________________________________________________________________________
(32) Have you ever lived with roommates? If so, tell us about it.
_____________________________________________________________________________
_____________________________________________________________________________
(33) What is your favorite TV show(s)?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(34) What is your favorite movie(s)?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(35) What kind of music do you like best? Favorite artists?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(36) What magazines do you read?
_____________________________________________________________________________
_____________________________________________________________________________
(37) What is your favorite color? Why?
_____________________________________________________________________________
_____________________________________________________________________________
(38) Do you belong to any affiliations or organizations?
_____________________________________________________________________________
_____________________________________________________________________________
(39) Do you have any body art (piercings, tattoos, etc.)? If so, please describe them.
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_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(40) What are your favorite sports to play? To watch?
_____________________________________________________________________________
_____________________________________________________________________________
(41) What are your favorite activities?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
NO
(42b) If you answered "YES" in Question 41a, please provide details, including dates of such
mental and/or physical illness(es) (regardless of whether they were diagnosed or undiagnosed
and regardless of whether any medical attention was sought), any diagnoses, treatments, any
medications taken in connection with such illnesses and the purposes of such medications, and
symptoms experienced in connection with such illness(es).
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(43) Have you ever sought mental health counseling in any form? If so, please provide details.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(44) Please list any allergies you have (medications, food, hay fever, dust, etc.) and your current
treatment for them (if any).
_____________________________________________________________________________
_____________________________________________________________________________
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(45) Have you ever been diagnosed with, or treated for, alcoholism or any other drug-related
addiction? If so, please provide more details, including how long you've been in recovery, if
that's the case.
_____________________________________________________________________________
_____________________________________________________________________________
(46) Do you have a temper? How often do you lose your temper? What provokes you?
_____________________________________________________________________________
_____________________________________________________________________________
(47) How do you deal with anger?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(48) How do you deal with someone who intimidates you?
_____________________________________________________________________________
_____________________________________________________________________________
(49) When was the last time (if any) you hit, punched, kicked, or threw something in anger?
Please provide details.
_____________________________________________________________________________
_____________________________________________________________________________
(50) What are you afraid of (e.g., heights, flying, etc.)?
_____________________________________________________________________________
_____________________________________________________________________________
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_____________________________________________________________________________
_____________________________________________________________________________
(55) Describe your perfect day.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(56) Who is your hero and why?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(57) List three (3) items you would take with you into the Big Brother house if allowed and why.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(58) Have you ever been to a nude beach? If so, what was it like?
_____________________________________________________________________________
_____________________________________________________________________________
(59) Finish this sentence: My life's motto is
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(60) What would you do if Big Brother made you famous?
_____________________________________________________________________________
_____________________________________________________________________________
(61) What types of people would you choose to have living with you in the Big Brother house?
_____________________________________________________________________________
_____________________________________________________________________________
(62) What types of people would you NOT choose to live with you in the house?
_____________________________________________________________________________
_____________________________________________________________________________
(63) What would irritate you about living in a house with about a dozen other people?
_____________________________________________________________________________
_____________________________________________________________________________
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(64) What do you think would be the most difficult part of living in the Big Brother house?
Explain.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(65) Which past Big Brother houseguest did you like the most? The least? Explain.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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Jacket Size________________________________
Chest Size
_____________________________
Waist Size
_____________________________
Pant Size__________________________________
In Seam (men only)__________________________
Dress Size (women only) _____________________
Bra Size (women only) _______________________
Underwear Size _____________________________
Shoe Size
______________________________
Hat Size ___________________________________
Left handed_______
Right handed________
Eye color_________
Read and sign the Release and Waiver below and youre done!
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ENTIRE AGREEMENT
This release and waiver expresses the entire understanding between me and the Releasees and replaces
any and all former and contemporaneous agreements, understandings or representations between me and
the Releasees. No modification, alteration or amendment of this agreement will be valid or binding
unless in writing and signed by both parties.
CHOICE OF LAW
This release and waiver shall be deemed to be entered into in Los Angeles County, California, and shall
be governed by and interpreted in accordance with the laws of the State of California applicable to
agreements executed and fully carried out within California. Subject to the arbitration provisions in the
next immediate paragraph below, any action, proceeding or litigation concerning this release or my
appearance or participation in the Program may only be brought in Los Angeles County, California, and
Producers and I hereby agree that the courts of Los Angeles County, California, shall have exclusive
jurisdiction over me and the subject matter of any such proceeding.
ARBITRATION OF DISPUTES
PRODUCERS AND I AGREE THAT ANY AND ALL DISPUTES OR CONTROVERSIES
ARISING UNDER OR RELATING TO THIS AGREEMENT OR ANY OF ITS TERMS, ANY
EFFORT BY ANY PARTY TO ENFORCE, INTERPRET, CONSTRUE, RESCIND,
TERMINATE OR ANNUL THIS AGREEMENT, OR ANY PROVISION THEREOF, AND ANY
AND ALL DISPUTES OR CONTROVERSIES ARISING UNDER OR RELATING TO MY
POSSIBLE APPEARANCE OR PARTICIPATION IN THE PROGRAM, SHALL BE RESOLVED
BY BINDING ARBITRATION IN ACCORDANCE WITH THE FOLLOWING PROCEDURE:
EITHER (I) THE RELEASEES AND I SHALL MUTUALLY SELECT AN ARBITRATOR, WHO
SHALL BE A RETIRED JUDGE OF A STATE OR FEDERAL COURT OR (II) IF WE CANNOT
AGREE ON SUCH ARBITRATOR, THE RELEASEES AND I SHALL EACH SELECT ONE
ARBITRATOR, WHO SHALL BOTH BE RETIRED JUDGES OF STATE OR FEDERAL
COURTS AND THOSE TWO ARBITRATORS SHALL THEN SELECT A THIRD
ARBITRATOR, WHO SHALL ALSO BE A RETIRED JUDGE OF A STATE OR FEDERAL
COURT. ALL ARBITRATION PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE
WITH THE COMMERCIAL ARBITRATION RULES OF THE AMERICAN ARBITRATION
ASSOCIATION, THROUGH ITS LOS ANGELES, CALIFORNIA OFFICE. PRODUCERS AND
I AGREE THAT THE ARBITRATOR'S RULING, OR ARBITRATORS' RULING, AS
APPLICABLE, IN THE ARBITRATION SHALL BE FINAL AND BINDING AND NOT
SUBJECT TO APPEAL OR CHALLENGE. PRODUCES AND I FURTHER AGREE THAT THE
ARBITRATION PROCEEDINGS, TESTIMONY, DISCOVERY AND DOCUMENTS FILED IN
THE COURSE OF SUCH PROCEEDINGS, INCLUDING THE FACT THAT THE
ARBITRATION IS BEING CONDUCTED, WILL BE TREATED AS CONFIDENTIAL AND
WILL NOT BE DISCLOSED TO ANY THIRD PARTY TO SUCH PROCEEDINGS, EXCEPT
THE ARBITRATOR(S) AND THEIR STAFF, THE PARTIES' ATTORNEYS AND THEIR
STAFF, AND ANY EXPERTS RETAINED BY THE PARTIES; PROVIDED THAT SUCH
ARBITRATOR(S) AND THEIR STAFF, THE PARTIES' ATTORNEYS AND THEIR STAFF,
AND ANY EXPERTS RETAINED BY THE PARTIES EACH FIRST AGREE IN WRITING
THAT SUCH INFORMATION AND DOCUMENTS WILL BE TREATED BY THEM AS
CONFIDENTIAL, CONSISTENT WITH THIS PROVISION. NOTWITHSTANDING THE
FOREGOING, NOTHING IN THIS PARAGRAPH OR IN ANY OF THE APPLICABLE RULES
OF THE AMERICAN ARBITRATION ASSOCIATION SHALL PREVENT THE RELEASEES
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