Glee Contestant Application

Please fill out and submit the following form.

Name: *

Name you go by:

Address: *

City: *

State: *

Zip Code: *

Cell Phone: *

Home Phone: *

Work Phone:

Other Phone:

E-mail Address:

Personal or Business Website:

Gender:

Height:

Weight:

Birth Date:

Current Marital Status:

Soupse's Occupation:

Children (List names and ages):

Please enter in following format: name | age

I AM A LAWFUL U.S. RESIDENT:

If not, list your current residency status:

I grew up in:

Highest Level of Education:

School(s) Attended:

Comma separated list of schools attended

How did you hear about casting?:

Are you or have you ever been a member of SAG/AFTRA?:

Have you ever appeared in television programs, films, webisodes, radio, commercials, stage or advertisements of any kind?:

If so, please provide details

Have you ever tried out or been on any other reality television show?:

If so, please list show(s), date(s) of application and airdate(s)

Are you currently being considered for any other reality shows, including any game or contest shows?:

If so, please provide details

Would you be available to leave your every day commitments for up to five (5) weeks starting in February 2011:

Do you have any obligations that would prevent you from being gone from your home and job for an extended period of time?:

If so, please explain

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