Crossword Puzzle Game Show Contestant Application Form

This form helps game show producers screen and select contestants by collecting personal details, work history, and responses about personality and experience.

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Application Instructions

Legal Name

Nombre

Apellido

Nickname or Preferred Name

Primary Phone Number

Secondary Phone Number

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Hometown (City, State)

How did you hear about this casting?

Who is your current employer and what is your occupation? (What job pays your bills?)

Please list your last three jobs

What levels of education have you completed? (Please specify schools and majors)

Do you have any military experience? Are you (active/reserve) military now? Please describe the branch, rank, job, and dates on enlistment

What is your marital status?

If applicable, how long have you been in your current relationship?

Do you have any children? If yes, how many and what are their ages?

Please list any dates you are NOT available to film between April 20th and May 15th, 2020

Please upload a clear photo of yourself (only yourself, no hats, sunglasses, or filters that obstruct your face)

Max 10 MB per file

Personal Profile

Describe yourself in one word

Describe your personality

Please list any accolades and proudest achievements

What are your hobbies and interests?

What is something we wouldn't know by looking at you?

How competitive are you? Give a brief example of your competitive nature

What would make you a great contestant for the show?

Describe your most embarrassing moment

Describe your area of expertise in pop culture trivia

Are you a risk taker? Please explain

Describe your experience with crossword puzzles

What would you do if you won the grand prize on this show?

Background and History

Please list all game, competition, or reality shows you have appeared on in the last ten (10) years, the network or streaming service it appeared on, along with airdate(s) and prizes won. If none, write NA

Have you ever had a restraining order issued against you or have you ever had a restraining order issued against someone else? If YES, please indicate city & state, month/year, and describe the situation. If NO, please write NA

Are you involved in any pending litigation? If YES, please tell us about it (include dates, city, and state). If NO, please write NA

Have you ever been convicted of a felony or misdemeanor? If YES, please explain (include dates, city, and state). If NO, please write NA

Do you or any of your immediate family members or anyone living in your household know anyone who has been, within the past two (2) years, an officer, employee, agent, or representative of any entity involved in the development, distribution, or other exploitation of the Program? If YES, please list their names, your connection to them, and the nature of their work. If NO, write NA

Have you ever been on any TV show or are you currently being considered for any TV shows? If YES, please name the show, the length of time you appeared on the show, the network or streaming service, status, and when it aired. If NO, write NA

Are you currently a member or have you been a member of SAG or AFTRA or any related entertainment unions? Please list all other media appearances you have made, including commercials, films, videos, webisodes, news, photographs, etc.

In addition to any appearances listed above, please list all/any other shows you have applied for and how far you made it in the application process

Do you know anyone else who is applying or has applied for this show? If YES, please provide their names and their relationship to you. If NO, please write NA

Acknowledgment Clause 1

Acknowledgment Clause 2

Acknowledgment Clause 3

Statement of Truth

Please Sign Below

Sign here

Date of Birth (For Identification Verification Purposes)

Closing Note

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Crossword Puzzle Game Show Contestant Application Form

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