The original can be found at: http://www.cbs.com/primetime/survivor//aussie/survivor.shtml
*I take no rights for this because it doesn't belong
to me.
SURVIVOR II
Contestant Application
Please note the following eligibility requirements must be met in order to proceed with the application process.
a. You must be willing to travel at your own expense to be interviewed around the week of August 21, 2000 (or as otherwise scheduled by the Producers) at one of the following locations nearest you: New York City, New York; Philadelphia, Pennsylvania; Boston, Massachusetts; Pittsburgh, Pennsylvania; Baltimore, Maryland; Los Angeles, California; San Francisco, California; Denver, Colorado; Salt Lake City, Utah; Chicago, Illinois; Detroit, Michigan; Minneapolis, Minnesota; Green Bay, Wisconsin; Dallas, Texas; Austin, Texas and Miami, Florida.
b. You must be willing to travel to Los Angeles for one week starting on or approximately September 11, 2000 (or as otherwise scheduled by the Producers) for the final selection process. Pre-approved economy travel (roundtrip to and from Los Angeles and your home in the United States) to be paid by Producers.
c. You must be willing to travel to a remote location in Australia for seven (7) weeks in October, November and beginning of December 2000 (or as otherwise scheduled by the Producers). Economy travel to be paid for by the Producers.
d. You must be at least 21 years of age.
e. You must be a United States citizen and live in the United States.
f. You must not now be a candidate for public office and must agree not to become one until after initial broadcast of all programs in which you appear, if selected as a contestant.
g. You must be in excellent physical and mental health.
h. If you are selected to be interviewed, you must timely complete and return (prior to the date of your personal interview) the completed Medical History Form, to be furnished to you by the Producers.
i. To accept an invitation to be a semi-finalist, you must complete, and timely return the Competitor Form Package, which will be furnished to you by the Producers, and will include, among other things, an Applicant Agreement, including Release Forms and Waivers for review and signature by you and your family members, and you must submit to physical and mental examinations, to be conducted in Los Angeles by medical professional(s) selected by Producer and meet all physical and psychological requirements.
j. If you are selected as a semi-finalist, you agree to authorize Producers to conduct background checks.
k. All applicants must have a valid U.S. passport or be in the process of obtaining a passport (which process will be completed in time for the applicant to travel to the remote location should the applicant be selected as a contestant) and deliver a copy of such passport or proof of such application process at the time of submission of the Survivor contestant application.
l. Employees, officers, directors and agents of CBS Broadcasting Inc., DJB, Inc., Survivor Productions, LLC, Survivor Entertainment Group, Inc., and Eco-Challenge Lifestyles, Inc. and/or of any of their respective licensees, assigns, parents, affiliated and subsidiary companies and the immediate family (spouse, mother, father, sister, brother, daughter, son, regardless of where they live) or members of their same households (whether related or not) of such employees, officers directors and agents are not eligible to be contestants on Survivor or participate in this application process. Previous contestants and their immediate families are also not eligible to be contestants on Survivor or participate in the application process.
LENGTH: MAXIMUM OF THREE MINUTES Anything over three minutes will not be considered.
FORMAT: We prefer VHS (No mini-DV's, 8mm or VHS C). To transfer the other formats to VHS simply connect your camera to your VCR and record.
CONTENT: Who are you and why you would make the ultimate Survivor Be creative!
DEADLINE: Completed application with videotape must be received by July 28, 2000.
The videotape will be retained by Producers and will not be returned to you, whether or not you are selected as a contestant. If you are re-applying, you are only required to send in the application form and not the tape. However, you must clearly state on the envelope that you are RE-APPLYING so we know to look for your tape.
Applications will only be considered if they are complete. Complete applications consist of the following:
a. Completed application form (including the signed name and likeness release) along with a copy or proof of a valid U.S. passport (or proof of having applied for issuance or renewal of such) and a passport-size photo.
b. Three-minute videotape labeled clearly with your name, age and phone number.
c. Print clearly on the outside of the envelope the number (1-16) which corresponds to the city nearest you:
Send your application and video submission to the following address:
SURVIVOR
PMB 346
9899 Santa Monica Blvd.
Beverly Hills, CA 90212
1) PERSONAL INFORMATION
First Name:
Last Name:
Nickname (if any):
Street Address ( where you will be living in August / September 2000 ):
City: State: Zip:
Phone Number (home): (work):
Fax Number:
E-Mail:
Gender (please circle): M / F
Age: Date of Birth:
Marital Status / Significant Other:
If you have children, please list their names and ages:
I hereby acknowledge that: (i) I have read, and I meet and agree to be bound by, the eligibility requirements; (ii) I have answered the previous questions honestly and accurately; (iii) If any of the above information is found to be false, this will be grounds for my dismissal from the Survivor II contestant selection process, and/or from the Survivor II contest, if selected; (iv) Even if I meet the eligibility requirements, the Producers have no obligation to interview me, and/or select me as a contestant; (v) Even if I am selected as a contestant, Producers have no obligation to conduct the contest and CBS has no obligation to broadcast it, even if conducted and (vi) All decisions by Producer concerning selection of the contestants is final and not subject to challenge or appeal.
Signature:_________________________________________________
Date:______________________________________________________
PLEASE SIGN AND DATE THE FOLLOWING NAME AND LIKENESS RELEASE.
By submitting this application I hereby consent to the recording, use
and reuse by the producers of the Program (defined below) and CBS Broadcasting
Inc. and any of their respective licensees, assigns, parents, subsidiaries,
divisions, business units, or affiliated entities and each of their respective
employees, agents, officers and directors (collectively ěReleaseesî) of
my voice, actions, likeness, name, appearance and biographical material
(collectively ěLikenessî) in any and all media now known or hereafter devised,
worldwide, in perpetuity, in or in connection with the reality based television
series currently entitled SURVIVOR (the ěProgramî). I agree that Releasees
may use all or any part of my Likeness, and may alter or modify it, regardless
of whether or not I am recognizable. I further agree that Releasees exclusively
own all right, title, and interest in and to the application video that
I have provided in connection with the Program (the ěVideoî) and all rights
therein and thereto including, without limitation, the right to use the
Video and my Likeness in any and all media now known or hereafter devised,
worldwide, in perpetuity. I further agree that Releasees may use my Likeness
and the Video in connection with any promotion, publicity, marketing or
advertisement for the Program in any manner whatsoever. I grant the rights
hereunder whether or not I am selected to participate in the Program. I
release Releasees from any and all liability arising out of its use of
my Likeness and/or the Video. I agree not to make any claim against Releasees
as a result of the recording or use of my Likeness and/or the Video (including,
without limitation, any claim that such use invades any right of privacy
and/or publicity).
I have signed this release on the _________ day of__________________________, 2000
Signature_____________________________________________________________________________________
Name (Please print or type)___________________________________________________________________