BIG BROTHER 14

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.

Region Number of the city located closest to your home: ____________

(Refer to the Eligibility Requirements/Application Instructions for this information)

Section I: The Basics

First Name
_________________________________________________________________
Middle Name _________________________________________________________________
Last Name
_________________________________________________________________
Maiden Name _________________________________________________________________
Name Changes (please explain) ____________________________________________________
Current Address (required): ____________________________________________
___________________________________________________________
City: _______________________________________ State: ______ Zip: _________________
Contact Info:
Mobile (PH): ______________________________________
Home (PH): ______________________________________
Work (PH): ______________________________________
Email 1: _____________________________________
Myspace / Facebook / homepage (list any)___________________________________________
_____________________________________________________________________________
Age (as of today): _____________________ D.O.B: _________________________
Gender (Circle one)

MALE

FEMALE

Height _______________Weight __________________

Marital Status (Circle one) also to be explained in detail later in application)
SINGLE

MARRIED

DIVORCED

WIDOWED

Do you have any children? How many? _____________________________________________

______________________________________________________________________________
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Current Occupation: _____________________________________________________________

(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

How long? _______________________________

How long? _______________________________
Any previous marriages? If so, how many? _____

NOT MARRIED, BUT LIVE W/SIGNIFICANT OTHER

How long? ___________

SEPARATED

How long? _______________________________

DIVORCED

How long have you been divorced? ____________

How long were you married? _________________
Previous marriages? If so, how many? ______

WIDOWED

How long have you been widowed? ____________

How long were you married? _________________
Previous marriages? If so, how many? ______

(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

ASSOCIATE COLLEGE DEGREE

Dates attended:
BACHELOR'S COLLEGE DEGREE
Degree(s)/Major(s)? ________________________________
Dates attended:
MASTERS COLLEGE DEGREE
Degree(s)/Subject(s)? _______________________________
Dates attended:
PROFESSIONAL OR DOCTORAL DEGREE
Degree(s)/Subject(s)? ______________________________
Dates attended:

(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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Section II: Family & Lifestyle

(19) Please list any childrens name(s) and age(s):
_____________________________________________________________________________
_____________________________________________________________________________
(20) Regardless of your marital status, describe your ideal romantic partner:
_____________________________________________________________________________
_____________________________________________________________________________

(21) Describe your relationship with your mother.

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(22) Describe your relationship with your father.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(23) What is/are your favorite food(s)?
_____________________________________________________________________________
_____________________________________________________________________________
(24) Do you smoke? If so, what do you smoke and how often?
_____________________________________________________________________________
(25) Do you drink alcohol? If so, how often do you drink and how much?
_____________________________________________________________________________
(26) If you drink, how often do you get drunk? How do you act when you get drunk?
_____________________________________________________________________________
(27) What are your thoughts on religion?
_____________________________________________________________________________
(28) Are politics important to you? How often do you vote?
_____________________________________________________________________________
_____________________________________________________________________________

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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?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Section III: Medical & Psychological

(42a) Have you been treated for or suffered from any physical or mental illnesses (other than
common colds) within the last ten (10) years? (Circle one)
YES

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.)?
_____________________________________________________________________________
_____________________________________________________________________________

Section IV: Your Chance to be Creative

(51) List the three adjectives that best describe you.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(52) If you could hold any political office, what would it be and why?
_____________________________________________________________________________
_____________________________________________________________________________
(53) What is the accomplishment you are most proud of?
_____________________________________________________________________________
_____________________________________________________________________________
(54) What are you most ashamed of, either now or in your past?
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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.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

(66) Do you have a strategy for winning Big Brother?

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(67) Aside from the cash prize, what do you hope to gain from winning Big Brother?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(68) A recurring theme on Big Brother is expect the unexpected. How would you handle
the unexpected? Are there any possible twists on the show that would be particularly
challenging for you to handle?
_____________________________________________________________________________
_____________________________________________________________________________
(69) Is there anything else you'd like to tell us about yourself and why you think you'd make a
great Big Brother participant and housemate? Try to differentiate yourself and be creative!
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(70) Have you ever applied for and/or appeared on any other reality TV shows, dating shows or
game shows? If so, please provide details and dates.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Dress Shirt Size (S, M, L, XL)_________________
T-Shirt Size (S, M, L, XL) ____________________
Swimsuit Size _____________________________
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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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RELEASE AND WAIVER

Please Print Your Full Name: ____________________________________________________
Please read, fill out, sign, and date the following:
I hereby acknowledge that: (i) I have read, and I meet and agree to be bound by, the Big Brother
eligibility requirements; (ii) I have answered the previous questions honestly and accurately and will
answer any questions put to me by Our House Productions, Inc. (Producers) honestly and accurately;
(iii) If any information that I provide to the producers of Big Brother is found to be false or incomplete
this will be grounds for dismissal from the Big Brother participant selection process, and/or removal from
the Big Brother program, if previously selected as a participant; (iv) Even if I meet the eligibility
requirements, the Producers have no obligation to interview me, and/or select me as a participant; (v)
Even if I am selected as a participant, Producers have no obligation to produce the program and CBS has
no obligation to broadcast it, even if conducted; (vi) In the event the show is cancelled, or not broadcast
for any reason, Producers and CBS have no obligation to award any prize money; (vii) All decisions by
Producer concerning selection of the participants are final and not subject to challenge or appeal; and
(viii) Producers have no obligation to return or maintain any materials submitted as part of the application
whether or not the applicant is selected as a cast member. Without limiting the foregoing in any way, to
the degree that the Materials include any musical or literary compositions in which I (partially or wholly)
own, or to which I purport to (partially or wholly) own, the copyright or any publishing rights, I hereby
grant to the Releasees, and have the complete, unfettered right to grant to the Releasees, an irrevocable,
unlimited, perpetual, worldwide, royalty and payment-free license to use and reproduce such Materials in
the Program and in connection with any promotion, publicity, marketing or advertisement for the
Program or any exploitation of the Program of any kind, in any and all media now known or which may
exist in the future. I understand that the Releasees make no representation that such Materials will or will
not be used in any way.
By submitting this application I hereby consent to the recording, use and reuse by the Producers of the
reality-based television series currently entitled Big Brother (the Program), CBS Broadcasting Inc.,
Endemol USA Inc., Endemol Entertainment USA, Inc., Our House Productions, Inc. and any of their
respective licensees, assigns, parents, subsidiaries or affiliated entities and each of the respective
employees, agents, officers and directors (collectively Releasees) of my voice, actions, likeness, name,
appearance and biographical material (i.e. collectively Likeness) in any and all media now known or
hereafter devised, worldwide in perpetuity, in or in connection with the Program. 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 the application materials (videos, photos,
etc.) that I have provided in connection with the Program and any photos and video that Producers will
make of me in connection with the program (the Materials) and all rights therein and thereto including,
without limitation, the right to use the Materials 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. I grant
the rights hereunder whether or not I am selected to participate in the Program in any manner whatsoever.
I release Releasees from any and all liability arising out of their use of my Likeness and/or the Materials.
I agree not to make any claim against Releasees as a result of the recording or use my Likeness and/or
the Materials (including, without limitation, any claim that such use invades any right of privacy and/or
publicity).

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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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FROM SEEKING PROVISIONAL RELIEF OUTSIDE OF ARBITRATION, INCLUDING BUT

NOT LIMITED TO EQUITABLE AND/OR INJUNCTIVE RELIEF, PENDING THE
ARBITRATORS FINAL DECISION
MISCELLANEOUS
Without limiting the foregoing, any provision of this release and waiver that is invalid, illegal, or
unenforceable in any jurisdiction will, as to that jurisdiction, be ineffective only to the extent of such
invalidity, illegality or unenforceability, without affecting in any way the remaining provisions hereof in
such jurisdiction or rendering that or any other provision of this agreement invalid, illegal or
unenforceable in any other jurisdiction. Any laws that require or suggest that the interpretation of a
document or agreement, or the resolution of any ambiguities contained therein, should be resolved against
the drafter of the document or agreement, are hereby waived. No waiver by any of the Releasees of any
term or condition of this agreement will be construed as a waiver by any of the Releasees of any other
term or condition; nor will any waiver by any of the Releasees of any default under this release and
waiver be construed as a waiver by the Releasees of any other default. It is further understood and agreed
that no failure or delay in exercising any right, power or privilege hereunder shall operate as a waiver
thereof, nor shall any single or partial exercise thereof preclude any other or further exercise thereof or
the exercise of any right, power or privilege hereunder. The Releasees may freely assign, in whole or in
part, any of their rights or obligations under this release and waiver. I may not assign my rights and
obligations under this agreement.
I have signed this release and waiver together with my application on the _________ day of __________,
201_.
Signature _________________________________
Print Name _______________________________

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