BIG BROTHER CELEBRITY HIJACK

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					BIG BROTHER: CELEBRITY HIJACK
APPLICATION FORM – PLEASE RETURN TO BBHIJACK@ENDEMOLUK.COM




           AUDITION NUMBER
                                                                 YOUR FACE
                                                     HERE

                                                      Please ensure photo is
                                                     unmodified and full-face
                                                         without a hat or
                                                            sunglasses




 Production to fill




Name:



Date of Birth:                                         Age:
NB: All applicants must be between 18 and 21 years
by January 2008



Address:                                               Daytime phone:

                                                       Home phone:
Postcode:
                                                       Mobile:
E-mail:


Gender



Sexuality



Relationship
Status




Children          Please give details :




                                                                                1
Religion/Beli    Please describe:
efs




Web              Myspace url: ………………………………………………………………………………………………………….
                 Facebook user name: ……………………………………………………………………………………………
                 Bebo user name: …………………………………………………………………………………………………….
                 Faceparty url: …………………………………………………………………………………………………………
                 Other: ……………………………………………………………………………………………………………………..



Qualification
Level



1)    Tell us about your major gift, talent or area of speciality:




2)    When and how did you discover this gift, talent or area of speciality?




3) How often do you use your gift, talent or area of speciality?     Please
explain.




4) What evidence of this gift, talent or speciality do you have, eg:
awards, certificates, newspaper articles, tv appearances etc.?




5)    What are your dreams and ambitions?




                                                                               2
6)    Do you think you‟re exceptional and if so why/why not?




7) Can you tell us briefly about any jobs you‟ve had?




8) What would you hope to get out of appearing on „Big Brother: Celebrity
Hijack‟?




9)    List 3 things your family don‟t know about you:


a)



b)



c)



10)   Why don‟t your family know these three things about you?




11)   What‟s your unique selling point?




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12)   What kinds of things annoy you?




13)   Are you a patient person?




14) What famous person do you most admire and why?




15)   Who would you least like to meet and why?




16)   Are you more of a follower than a leader?    (please give an example)




17) How would your flatmates/closest friends describe you? (please give
positives and negatives)




18)   What do you like to do when you go out?




19)   Have you ever appeared on TV?     If so, tell us about it:

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20)   Do you have any (other) claims to fame?




21)   How intelligent are you? (please elaborate)




22)   How attractive are you? (please elaborate)




23)   How ambitious are you? (please elaborate):




24)   How talented are you? (please elaborate)




25)   How particular are you? (please elaborate)




26) What would you hope to achieve by being on „Big Brother: Celebrity
Hijack‟?




                                                                         5
27)   Is there anything else you‟d like to tell us about?




                                                            6
Diversity Monitoring


No one will be excluded from taking part in the programme on the grounds of
gender, race, religion, disability or sexual orientation.


We would be grateful if you would complete the following to help us with our
monitoring process:


Do you consider yourself to have a disability?    Yes/No


If you have a disability is there anything we can do to make our screening
and selection process more accessible to you (please elaborate)?




Please mark an „X‟ next to the best description of your ethnic origin:

Black African/Caribbean

Asian

Mixed Race

Chinese

White

Other ( please describe)



Criminal Records, Police Records & Pending Court Cases

Please tell us about any criminal records, police records or pending court
cases you may be subject to. These will not necessarily affect your
application, but we need to know this information for legal reasons:




                                                                               7
Privacy


Endemol UK plc (“Endemol”) and Channel 4 will ensure that any information
provided for the purpose of producing Big Brother: Celebrity Hijack will be
used in accordance with the Data Protection Act 1998.                       All information will
be kept secure and treated as confidential.                     Any disclosures of information
will only be made with your permission (which includes any permissions that
you give here or in the rest of the application process).                         By submitting this
application form, you are consenting to the use of your personal information
(including       but    not    limited       to   information      about    your    health,    sexual
orientation, religious and political beliefs) and any supporting material by
Endemol and/or Channel 4 for the purpose of producing or in connection with
the programmes and any associated programme (in whatever format) video/DVD
and the publicity promotion distribution and use thereof.                             Your personal
information      will    not    be    used    for   any    other   direct    commercial       purposes
including direct marketing.                 We will not publish your address or contact
details.

 Endemol and Channel 4 would like to keep this application form for future
related use when, for example producing similar programmes. (Please note that
you maybe contacted separately by either or both Channel 4 and Endemol.)                             If
you   do   not   consent       to    this   it    will   not   influence    our    decision    in   the
auditions and selection process.


DO YOU AGREE      TO LET ENDEMOL AND CHANNEL 4 KEEP THIS FORM?
Place an ‘X ‘ next to the ‘YES’ if you consent to the above

YES




                                                                                                      8
If you do not consent to the future use of your information your application
forms will be securely destroyed once the selection process has been
completed.




Please read sign and date the following statement: -


I hereby acknowledge and undertake to Endemol UK plc ("Endemol") that in
consideration of the Producers agreeing to consider this application:


I have answered all of the questions in this questionnaire form fully,
honestly and accurately and I confirm I have not misled or attempted to
mislead Endemol in any way as to my identity or experiences or in any other
way;
If any of the information I have given in the application form is found to be
false, Endemol will be entitled to exclude me from the Big Brother
participant selection process in its sole discretion;


All decisions by Endemol concerning selection of the participants are final
and I agree not to challenge or appeal against those decisions;


I now grant to Endemol (and its licensees and assigns including Channel 4)
all necessary rights and consents for the full period of copyright (and
afterwards so far as possible in perpetuity) to copy edit and/or use at their
sole discretion any footage taken during the auditions and the application
process (together “the Audition Footage”) for any purposes connected with Big
Brother and any use in any way in any media related to Big Brother throughout
the world (including but not limited to promotional material, associated
programmes, video/DVD and any other ancillary use)


I agree that I shall not be entitled to injunct or restrain the transmission
or use of the Audition Footage or any programmes or ancillary use, which
includes the Audition Footage (or any part of it).


I also hereby irrevocably and unconditionally waive any so-called "moral
rights" in the Audition Footage or any such additional programmes or use (as
set out in section 77 and section 80 of the Copyright, Designs and Patents
Act 1988 or otherwise) as I now have or may acquire in relation to the
Audition Footage or such additional programmes or use.

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I will keep strictly confidential and will not without the prior written
consent of Endemol at any time from the date I sign this application form and
for twelve (12) months following the first transmission on television in the
United Kingdom of the final episode of Big Brother: Celebrity Hijack disclose
publish or reveal to any person any incident conversation or information
concerning the series or the application/selection process which comes to my
knowledge as a result of my inclusion in the participant selection process
and/or the Big Brother programme, if selected, nor other information relating
to Endemol, Channel 4 or the Big Brother programme acquired by me during this
period other than information already in the public domain.


Signed                                             Date


Name (please print)




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