Registration

Register by filling out the form below.

General Information   * Height (feet):     * Height (inches):       (PLEASE NOTE: If you are a female, You must be AT OR ABOVE five feet and seven inches [5’7”] in height to be eligible; If you are a male, You must be AT OR ABOVE five feet and ten inches [5’10”] in height to be eligible although Producers reserve the right to make case-by-case exceptions. However, the Producers are looking for a variety of models, including plus size models.)   * Weight:     * Social Security Number:       no dashes or spaces   Driver's License:       please include the 2 letter state abbreviation before the number   * Are you a United States citizen?   ---Select One--- Yes No   * Do you have a current United States passport?     Yes   No     (PLEASE NOTE: Participants on the show may be required to travel internationally)   If yes, what is the expiration date?       enter in month/year format eg. 04/2014   * Name, Phone Number, and Address of Closest Friend:     * Name, Phone Number, Address of Nearest Relative:     * Name, Phone Number of an Emergency Contact:       include relationship to you (boyfriend, mother, guardian)   * Do you have a homepage on the Internet?     Yes   No   If yes, please provide a URL.:     * Marital Status:     Single   Boyfriend/Girlfriend   Married   Not married, but live with significant other   Separated   Divorced   Widowed     please also answer each of the questions to follow as applicable   Boyfriend/girlfriend? How long?     Living with significant other? How long?     Married? How long? How many times?     Divorced? How many times?     * Highest Level of Education:   ---Select One--- No Schooling HIGH SCHOOL ASSOCIATE COLLEGE DEGREE BACHELOR'S COLLEGE DEGREE MASTER'S COLLEGE DEGREE PROFESSIONAL OR DOCTORAL DEGREE   What school are you currently enrolled in?     What other school(s) have you attended?       (Include the city and state) Briefly describe your school.   What do you study at school?     What activities do you do at school?       Sororities? Clubs? Groups?   What are your favorite things about your school?       Do you have a lot of school pride? Who are your school’s rivals?   Other than modeling, what career would you pursue?     Are you a professional performer?       If so, what do you do?   Acting, singing or performing aspirations?       If so, tell us your wishes and goals.   Have you ever appeared on television?       If so, in what capacity did you appear and when? Did you appear on national television?   Have you ever appeared in any magazines?       If so, which magazine and in which issue?   Do you have any experience as a model OF ANY KIND?       If so, please explain, including when and for what. PLEASE NOTE: You may not be eligible if you have modeled in a national campaign within the last five (5) years.   Have you ever had a modeling contract?       If so, please list the name and address of the entity with which you had such modeling contract.   Do you currently have a modeling contract?       If so, please list the name and address of the entity with which you currently have such modeling contract.   Have you been represented by a manager or agent?       If so, please specify what the representation covered (e.g., modeling or acting).   Are you currently represented?       If so, please specify what the representation covers (e.g., modeling or acting). PLEASE NOTE: If you are currently represented by an agent or manager and are selected to be interviewed, you must furnish sufficient evidence to the Producers that you are able to terminate such representation in the event that you are selected to continue on in the casting for the show. Alternatively, you may be permitted to keep your representation as long as it does not interfere in any way with your ability to accept all prizes or otherwise perform the obligations of being selected to participate and actually participate in the show. You may be required to terminate any representation even if it does not conflict with the terms of your participation.   * Have you ever been arrested?   ---Select One--- Yes No   If so, tell us about it.:       (include dates, city & state)   * Have you ever been charged with a crime?   ---Select One--- Yes No   If so, tell us about it:       (include dates, city & state)   * Have you ever been convicted of a crime?   ---Select One--- Yes No   If so, tell us about it:       (include dates, city & state)   * Ever had a restraining order issued against you?   ---Select One--- Yes No   If so, tell us about it:       (include dates, city & state)   * Issued a restraining order against someone else?   ---Select One--- Yes No   If so, tell us about it:       (include dates, city & state)   Are you involved in any pending litigation?       If so, tell us about it (include dates).   * Do you have any children?   ---Select One--- Yes No   If so, please list their name(s) and age(s).:     Marital status aside, describe your ideal partner.:     Describe your relationship with your mother:     Describe your relationship with your father:     Tell us about your childhood:     The most difficult experience you’ve been through:     What you dreamt about becoming as a child?     Who is the most important person in your life?     What is your current occupation?     What is your favorite food?     * Do you smoke?   ---Select One--- Yes No   If so, what do you smoke and how often?     * Do you drink alcohol?   ---Select One--- Yes No   If so, how often do you drink and how much?     How often do you get drunk?     How do you act when you get drunk?     What are your thoughts on religion?     Are politics important to you? Do you vote? Often?     Any interesting occupations in your past?     Do you have any pets?       If so, please list their name(s) and type(s).   Are you a vegetarian?       Do you have any food limitations (e.g. allergies, religious, etc.)?   Have you ever lived with roommates?   ---Select One--- Yes No   What’s your favorite TV show?     What’s your favorite movie?     What kind of music do you like best?     What magazines do you read?     Do you belong to any affiliations or organizations:     Do you have any body art?       (piercings, tattoos, etc.)? If so, please describe them.   What's your favorite sport?       to play OR watch?   * Treated for a serious physical or mental illness?   ---Select One--- Yes No     within the last five (5) years   If yes, please describe in detail:       indicating dates, diagnoses and any ongoing treatments or difficulties   Please list any allergies:       (medications, food, hay fever, dust, etc.) and your current treatment for them (if any).   Been diagnosed with, or treated for, an addiction?       (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.   Do you have a temper?       How often do you lose your temper? What provokes you?   How do you deal with anger?     How do you deal with someone who intimidates you?     Last time hit, punched, kicked, or threw something:       please provide details   List three adjectives that best describe you:     What political office would you most like to hold:     Who is your hero and why:     Accomplishment you are most proud of:     What are you most ashamed of:       either now or in your past   Describe your perfect day.:     3 items you would take into a house and why:     Have you ever been to a nude beach?       If so, what was it like?   Finish this sentence: "My life's motto is…"     Someone in your life that is deserving of honor:       why does this person deserve to be honored   What would you do if this show made you famous?     What type of person would you choose to live with?     Type of person you would NOT want to live with:     Could you live with 12-13 people?       what types of things would irritate you if you lived with that many people   What would be difficult for you in the house?     Who is your favorite supermodel?       …your least favorite? Explain. Who is your favorite designer?   Do you have a strategy for winning the contest?     What do you hope to gain from winning?       aside from getting a modeling contract   What else would you like to tell us about yourself:       why you think you'd make a great participant for this show and housemate? Try to differentiate yourself and be creative!   Ever applied for and/or appeared on a show before?       any other reality TV shows, dating shows or game shows   What person would you most like to meet?     Who would you most want to meet if you were famous:     3 things you want to do/own/experience:       what would make your personal dreams come true   How would you describe yourself in one sentence?     How do others describe you?

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