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Southies
Name:
Age:
Legal name as it appears on your state-issued i.d.: :
Hometown city and state:
Current Street Address:
City:
State:
Zip Code:
Cell Phone:
Alternate Phone:
Email:
Emergency Contact Name:
Emergency Contact Phone:
Current Place of Employment:
Full Job Title:
Are you employed full time? :
Have you ever appeared on television? (If YES please list project title, network and date of airing):
Who are you currently living with? Please list their information below as we will need to obtain appearance releases if you are chosen for series: Name:
Age:
Phone:
Relationship to you:
Name:
Age:
Phone:
Relationship to you:
Name:
Age:
Phone:
Relationship to you:
How did you hear about this opportunity? :
NOW, LET'S GET TO KNOW YOU!
Do you currently own or rent your home?:
Rent
Own
How many people currently reside in your home? :
Who, if anyone, lives with you? :
Describe a typical day from start to finish; roles and responsibilities work and play, where you go, who you see etc.:
What is the current conflicts/trials and tribulations/drama in your life? :
What is a source of joy or fun in your life? What do you do to let loose? :
Describe your current romantic life/sex life:
Describe your personality. The good, the bad, the ugly:
How do you react when you get emotional (sad, angry, passionate, frustrated, desperate, pissed off)? :
What is it about you that makes you feel like “no one understands?” What about your lifestyle, relationship/s, family, sex life etc. makes you feel like you are the only one going through what you are going through? :
In your opinion tell us why Boston is a great city:
What do you love/hate about living in Boston? :
What do you like to do for fun? (ie. are you out at the bars, staying home watching the SOX, etc.) :
Describe your group of friends (ie. party girls, sports fanatics, etc.) :
What is your reputation amongst others (whether professionally, socially or personally)? How are you remembered? What impression do you make? :
In the next year, what decisions or events will you face?:
(e.g. marriage, divorce, wedding etc.)
During the next year what are your biggest hopes and fears? :
What 4 other girls would you love or hate to see join the cast for this show? (Think great television!)
Name :
Phone :
Relationship & why you love or hate them:
Name :
Phone :
Relationship & why you love or hate them:
Name :
Phone :
Relationship & why you love or hate them:
Name :
Phone :
Relationship & why you love or hate them:
Why do you want to be a subject on this series? Why should we choose you? :
Upload a photo of yourself:
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