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MANTRACKER SEASON 7 PREY APPLICATION

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MANTRACKER SEASON 7 PREY APPLICATION
Shared by: HC111210131649
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12/10/2011
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SEASON 7

PREY APPLICATION

DATE



NAME AGE

NICKNAME(S)



ADDRESS



HOME # CELL #



WORK # EMAIL



BIRTHDATE HOMETOWN



PARTNER'S NAME



RELATIONSHIP TO PARTNER





About You...

What is your occupation and who is your employer?









Please list your last three jobs.









What levels of education have you completed? (Please indicate school and area of study.)

What is your current relationship status?

Single

Boyfriend / Girlfriend

Engaged

Married

Divorced

How long have you been this relationship?



Do you belong to any affiliations or organizations?









Do you have any military experience?









Not including your current place of residence, in which other cities and/or countries have you lived,

for what period of time and why?









What’s Your Deal?

What would your friends say are your best qualities?









What would your friends say are your worst qualities?









What are your favourite hobbies?

What magazines & newspapers do you read?









What television shows do you watch?









Name some of your favourite movies & musicians.









What conversation topics are "off limits" for you at a dinner party? Why?









What is the most daring and dangerous thing you have ever done?









What accomplishment are you most proud of?









Describe your most embarrassing or traumatizing moment:









What are your phobias?

Fit for the Challenge

What is your personal motivation for challenging Mantracker? Why should we choose you?









Have you completed any wilderness survival training programs? If yes, describe.









What sports organizations have you been a member of? (i.e., High School; College; Minors;

Professional; etc...)









What sports or fitness activities do you currently participate in?









Give an example of how far you can max your endurance levels (marathons, portaging, extreme

hikes, etc)?









Describe your experience with staying in the wilderness for long periods of time.

How are you competitive in your every day life?









If picked to be on Mantracker, what will you different than past prey? What's your secret weapon?









Teammates

How do you know your partner? How long have you known each other?









Why do you want to take on Mantracker on national television with this person?









Describe the relationship between you and your partner. How do you get along? Give examples.

What worries you the most about your partner in taking on this challenge?









Is there anything else you'd like to add that we should know?









Background Info

Have you ever been treated for any serious physical or mental illness(es) or had any serious

injuries?

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?

Yes No

If yes, please describe in detail.









Do you have any allergies?

Yes No

If yes, please describe in detail.









Have you ever been treated for stress-induced asthma, heart conditions, or high blood pressure?

Yes No

If yes, please describe in detail, citing dates, diagnosis and any on-going problems.









Have you ever been charged with any crimes?

Yes No

If yes, please explain briefly.









Have you ever had a temporary or permanent restraining order or an application for a temporary or

permanent restraining order against you?

Yes No

If yes, please explain briefly.









Is there any pending litigation against you?

Yes No

If yes, please explain briefly.









Do you smoke?

Yes No

If yes, how much?

Have you ever been diagnosed with alcoholism or drug addiction?

Yes No

If yes, please describe in detail and indicate how long you've been in recovery.









Are you currently being considered for any other reality shows?

Yes No

If yes, please explain briefly.









Have you ever appeared on television before? (reality, game show, scripted, etc.).

Yes No

If yes, please list show, network, approximate air date, role, prizes won, etc.









The information contained above is complete and accurate to the best of my knowledge.









Signature


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