WHO WANTS TO BE A MILLIONAIRE

APPLICATION

_________________________
Last Name

_________________________
First Name

_________________________
Date of Birth

_________________________
Last 4 digits of SSN

_____________________________________________________
Street Address

_____________________________________________________
City State Zip

_____________________________________________________
E-Mail Address

If you are selected from the Contestant Pool as a potential contestant, you must be
available for a qualifying phone call. Please list the phone number (no pager numbers)
where you can be reached Monday through Friday between 9am and 5pm PST.

___________________________________________________________________________
Phone Numbers (inc. area code). Please Indicate Home, Work, or Cell

____________________________________________________________________________
Secondary Contact Person: (provide name, cell phone number & relationship to you)

If contacted by Who Wants To Be A Millionaire staff, all applicants must return phone calls
Monday through Friday between 9am and 5pm PST
ELIGIBILITY
Are you or any member of your immediate family (spouse, mother, father,
daughter, son, sister, brother and their spouses) or anyone living in your
household currently employed by:

A) The Walt Disney Company, its parent companies, subsidiaries,

affiliates, agents or representatives? Y _____ N _____

B) Valleycrest Productions, ABC, 2waytraffic, Sony or GEICO?

Y _____ N _____

C) Any television station that broadcasts Who Wants To Be A

Millionaire? Y ____ N ____

D) Embassy Row, its parent companies, subsidiaries, affiliates, agents or

representatives? Y ____ N____

E) Caesars Entertainment Corporation, its subsidiaries, affiliates, agents

or representatives? Y ____ N____

F) Any person or entity connected with the production, administration or

judging of Who Wants To Be A Millionaire? Y ____ N____

Have you ever appeared on Who Wants To Be A Millionaire?

Hot Seat? Y ____ N ____
Fastest Finger? Y ____ N ____

Have you ever appeared on a TV game show? Y_____ N_____

If yes, which show(s)________________________________
_________________________________________________
When? ______________________________

Are you scheduled to appear on a TV game show? Y_____ N_____

If yes, when? _______________________________

Do you or any member of your immediate family or anyone living in your

household know any persons who are or have ever been connected with the production,
administration or judging of Who Wants To Be A Millionaire?
Y ____ N____

Contestants and their companions are solely responsible for all expenses
incurred in connection with their appearance on this Syndicated Program including, but
not limited to, travel to Las Vegas, NV, hotel, meals and all other expenses. The
contestants and their companions will not be reimbursed for such expenses. Do you
agree to be responsible for all costs incurred by you in connection with your appearance
on the Syndicated Program?
Y ____ N ___
 WHO WANTS TO BE A MILLIONAIRE
AUDITION APPLICATION

Married __________ Single __________ Attached _________

Kids? _________

____________________________________________________________________________
Education (Name(s) of Colleges and Degrees)

____________________________________________________________________________
Occupation

Please answer the following questions:

1. Quirks, rituals, superstitionsWhat makes you stand out?

2. Whats unique about the way you grew up?

3. How would winning $1 million change your life?

4. What is one thing you do that makes people laugh?

5. What made your journey to audition for Millionaire unique?

6. If you could nominate yourself as best-_____ or most likely to_____, what would be your
vote?

7. What do you do for fun?

8. Youd never believe it but I once

9. Why do you want to be on Millionaire?

10. How did you hear about the audition?

11. Have you previously auditioned to be a contestant on Millionaire? If so, when was the date of
your last audition? And how many times have you auditioned to be a contestant in the past?

12. Are you a Veteran, are you currently a member of the United States Armed Forces, are you
currently engaged, or are you someone who has NEVER been to Las Vegas?

13. What is the greatest challenge you have ever faced in your life?