Are you a legal resident of the United States?
Please Select
Yes
No
Are you 21 years of age or older?
Please Select
Yes
No
Do you currently have a valid driver's license?
Please Select
Yes
No
Are you available for approximately 10 weeks near Apr/May 2010?
Please Select
Yes
No
Have you ever been convicted of a serious crime of any type, including, but not limited to a misdemeanor, felony or disciplinary charge?
Please Select
Yes
No
If so, please give details and dates:
Have you ever been charged with a violent offense?
Please Select
Yes
No
If so, please give details and dates:
Have you ever had a temporary restraining order issued against you?
Please Select
Yes
No
If so, please give details and dates:
Do you have any conditions or special needs, medical or otherwise, that we should know about?
Please Select
Yes
No
If so, please give details:
Have you ever been treated for any serious physical or mental illness(es) or had any serious injuries?
Please Select
Yes
No
If yes, please describe in detail, citing dates, diagnosis and any on-going problems:
Are you on any medication that you must take on a regular basis?
Please Select
Yes
No
If yes, please describe in detail:
Have you ever been treated for stress-induced asthma, heart conditions, or high blood pressure?
Please Select
Yes
No
If yes, please describe in detail, citing dates, diagnosis and any on-going problems:
Are you currently married?
Please Select
Yes
No
Have you ever been married
Please Select
Yes
No
If so, please list the name(s) of any former spouse(s), city(ies) and state(s) in which divorce(s) was (were) granted, and the date(s) of divorce(s):
Former spouse's name(s); divorce locations and divorce date(s):
Please select all that apply:
Divorced
Boyfriend/Girlfriend
Single
Engaged
How long have you been in your current relationship?
Please Select
Not currently in a relationship
1+ Month
1+ Year
5+ Years
10+ Years
Do you have any children, whether biological or adopted?
Please Select
Yes
No
Please list all children's full names, ages, with whom they reside and where:
By law, you must list all television shows that you have appeared on (reality, game show, scripted etc.). Even if you did not win anything, you must disclose all television appearances.
Please list the names and dates of all past TV shows or pilots you have worked on or appeared in, and all future TV shows or pilots you are committed to work on or appear in:
Is there anything that you would feel embarrassed or uncomfortable doing on TV?
When did you graduate High School (if you graduated):
Please describe in detail all education completed beyond high school:
Do you have any military experience?
Please Select
Yes
No
Are you (active/reserve) military now?
Please Select
Yes
No
If so, please describe branch, rank, job, and dates of enlistment:
Who is your current employer and occupation? (What job pays your bills now?)
Please list your last three jobs:
How did you hear about this show?
Who is your main casting contact / The Colony 2?
Describe yourself to us tell us a brief history of you.
If the world ended today and you were left alone to survive, describe some of the first steps you would take.
In relation to your occupation, name a skill that you use every day that would be a valuable asset if you found yourself in a survival situation.
Have you ever live through a disaster (natural or man made)? If yes please explain:
Other than the skill you listed above, name another skill you have (organizing, moderating, event planning, photographic memory, green thumb, etc. etc. etc.)
What role would you play on a team - 'the devoted worker'? 'The intellectual'? The organizer? The leader? The silent 'do as I'm told' type? 'The court jester'? 'The one who uses sex appeal'? 'The boss'? 'The manipulator'?
Which animal best represents you and why?
What would your friends say are your best qualities?
What would your friends say are your worst qualities?
What is the most memorable event in your life and why?
Have you had to endure any hardships or tragedy in your life? If so, what personal strength did you use to get through it?
What unique personality traits do you possess?
How do you feel you rank amongst the average person in regards to mental fortitude?
Describe 3 strategies you respect of others (Olympians, Moms, poker players, survivors, etc)
When trying to beat out a competitor at anything, do you use any tactics or strategy? Explain.
If someone made a movie about your life which actor would portray you and why?
When was the last time you said something negative about someone else? Positive? What were the circumstances?
If you could have lunch with anyone who would it be and why? What kind of restaurant would you choose?
If someone did your portrait and had only one color to use which color would it be and why?
Tell us something about yourself you don't want us to know.
Why do you want to do this show?
