MAKE IT HAPPEN - APPLICATION
Please ensure you meet the following criteria before continuing:
Are you at least 18 years of age? Y/N
Please note: All selected participants will attempt to complete one goal as selected by the Producers
based on the participants in. All tasks/goals must be able to be completed within Western Canada. All
participants must be available for taping between the months of June –September 2012.
Address (Street, City, Province, and Postal Code):
How did you hear about the show?
Are you currently?
Working Full time Unemployed
Have you ever been a contestant, performer, featured in radio television or film before? Please explain:
List three adjectives that best describe you:
What accomplishment are you most proud of in your life?
List the top 5 thing you’ve always wanted to do but haven’t:
Which item could be completed within Western Canada that you would like to do the most?
Tell us about the person(s) you are closest too – who would you like to share your successes with?
What is your biggest fear? Is this something you would like to one day overcome?
Do you use Twitter? Facebook? If so, what’s your username?
Why do you want to be on the show?