All- Star Academy Casting Application Please fill out this application legibly with either a blue or black pen. Answer all questions honestly and to the best of your ability. Please write only on the printed side of the paper. Feel free to attach additional sheets if necessary. First Name: Last Name: Age: Date of Birth: Gender: Cell: Email: Street Address: City: State: Zip Code: PERSONAL INFORMATION Marital Status: Single Engaged (Wedding date? ) Dating (How long? ) Married (How long? ) Do you have any children? If so, list their names and ages below (include step- children): Current Occupation: List your last 3 jobs before your current job: Have you been to culinary school? Yes No If YES, did you graduate? Yes No Highest level of education: Colleges and/or trade school(s) attended, degree(s) and years of attendance: Are you now or do you plan to be a candidate for public office? Yes No Do you or any of your immediate family members work for the Producers, the Network, or any of their respective licenses, assigns, and/or parent companies? Yes No If YES, please list names and connection: Page 1 of 7
CULINARY BACKGROUND & BACKSTORY How did you become interested in cooking? What are your childhood memories of food? Who is the biggest influence on your cooking? Why? How often do you cook? (i.e., 2-3 times a day, 2-3 times a week, etc.) Do you have a signature cooking style or philosophy? Please describe. (i.e., Farm to Table, Vegan, etc.) Any restrictions when you re cooking? What s off limits? Why? Is there a current food trend that annoys you? Why? Do you now or have you ever made a living as a chef? Yes No If YES, please give details: If NO, why have you never pursued it full- time? What has been holding you back? What is your best talent in the kitchen? (i.e., Are you a master at filleting fish? Are you king of the barbecue? Do you have superb knife skills?) What is your favorite kitchen utensil or appliance? Why? Who is the biggest fan of your cooking? Why? How extensive is your cookbook collection? Page 2 of 7
Who are your favorite Food Network chefs? Rank in order; 1 being your absolute favorite: 1) Why? 2) Why? 3) Why? How has Food Network influenced your life? If you had to brag about your 4 most impressive culinary achievements what would they be? Have you received any awards for your cooking? If so, please list: What are your top 5 signature dishes that really showcase your skills? Attach additional pages if needed. IMPORTANT: INCLUDE RECIPES & PHOTOS OF EACH DISH WITH YOUR EMAILED APPLICATION. # Name of Dish Description of Dish 1 2 3 4 5 Page 3 of 7
THE ADVENTURE & THE COMPETITION Are you competitive? Please list examples of your competitive spirit. (i.e., In which circumstances does your competitive spirit come out the most?) What do you think your biggest strengths will be in this competition? What do you think your weakness will be in this competition? What s your biggest fear in the kitchen? What s the hardest thing you ve had to overcome in your life? What would winning mean to you? What is at stake? How would the cash prize benefit your life? MEDIA BACKGROUND Are you or have you ever been a member of SAG/AFTRA? Yes No If yes, I agree that, if I am selected by Producers to be a participant, my appearance as a participant in the Program (a) is not employment or an engagement to perform any acting or performing services, (b) is not subject to any union or guild collective bargaining agreement, and (c) does not entitle me to wages, salary, corporate benefits, workers compensation benefits, or other compensation under any such collective bargaining agreement or otherwise. Have you ever been on a TV show? Yes No If YES, please name the show, length of time you appeared on the show, and when it aired: Page 4 of 7
In addition to the appearances you made above, please list all/any other reality shows you have applied for and how far you made it: Show Name Were you interviewed on- camera? Did you attend casting finals? Final Casting Outcome: Do you have any pre- existing contracts that may affect your ability to participate in this show? If so, please explain: Have you authored any books that have been published? If so, please list them and the dates they were released: Do you have any blogs? If yes, please describe and include the URL: Are you a member of any social media sites? (Facebook, Twitter, Instagram, etc.) Yes No If YES, please list your URL(s) and/or user name(s): MEDICAL AND BACKGROUND INFORMATION Do you have any allergies or medical conditions that may impact your ability to participate in our show? Yes No If YES, please provide details below: Do you have any physical conditions or special needs we should know about? Are you legally eligible to work in the U.S.? (Note: you may be required to submit proof of eligibility.) Yes No Have you ever been arrested (even if charges were dropped or expunged) as an adult or minor? Yes No Page 5 of 7
If YES, describe when you were arrested, the circumstances, charge(s), and whether or not you were convicted. If you were convicted, describe the penalties imposed: Have you ever had a restraining order placed against you and/or have you placed one against someone else? Yes No If YES, please provide details below: CASTING APPLICATION RELEASE PLEASE READ, SIGN AND DATE THE FOLLOWING: I acknowledge that: a) I have answered (and will answer) all questions posed to me as part of the application process, honestly, accurately and to the best of my ability and knowledge; b) I will abide by all of the eligibility requirements and rules and regulations for the proposed television program currently entitled All- Star Academy ( Program ); c) if any of the information that I provide to the Producers is found to be false, this will be grounds for my dismissal from the Program application process, and/or from the Program itself even if I am ultimately selected as a participant; d) even if I meet the eligibility requirements, the Producers have no obligation to interview me and/or select me as a participant; e) even if I am selected as a participant, the Producers have no obligation to produce the Program and the network has no obligation to broadcast it, even if it is produced; f) all decisions by the Producers concerning selection of participants and other matters is final and not subject to challenge or appeal; g) the Producers own, and are not obligated to return or maintain (and may destroy) any materials submitted as part of my application (including but not limited to, videotapes, DVD s and photographs) whether or not I am selected as a participant; and h) if I am selected as a participant I will be required to enter into, and execute, the Producer s long- form agreement before I am able to participant in any manner in the Program ( Participant Agreement ). For purposes of this Release, Producers shall mean Long Pond Media, LLC, and its respective parents, licensees, assigns, subsidiary and affiliated companies, successors and assigns and each of their respective directors, officers, agents and employees. I hereby consent to the recording, and use and reuse by the Producers and any of its respective licensees, licensees, assigns, subsidiary and affiliated companies, successors and assigns and each of their respective directors, officers, agents and employees (collectively Releasees ) of my voice, actions, likeness, name, appearance and biographical data (collectively Likeness ) in any and all media now known or hereafter devised, worldwide, in perpetuity, in any and all versions now known or hereafter devised (including digitized versions) in, or in connection with, the Program. I agree that Releasees may use all of any part of my Likeness, and may alter or modify it, regardless of whether or not I am recognizable. I further agree that Releasees exclusively own all right, title and interest in and to any application materials (e.g., the video, photos, recipes, etc) that I have provided in connection with my application for or participation in the Program and any photos and video or recordings of any kind that the Producers may make of me in connection with the Program and my application therefor (collectively Material ) and all rights therein and thereto including, without limitation, the right to use and exploit the Material and my Likeness in any and all media now known or hereafter devised (including digitized versions). Without limiting the foregoing in any way, I further agree that the Releasees may use my Likeness and Material in connection with any promotion, publicity, marketing or advertisement for the Program in any manner whatsoever. Without limiting the foregoing grant of rights in any way, to the degree that the Material includes any pre- existing musical or literary compositions in which I (partially or wholly) own the copyright or any publishing rights, or to which I purport to (partially or wholly) own such copyright or publishing rights, I hereby grant to the Producers, and have the complete and unfettered right to grant to the Producers, an irrevocable, unlimited, perpetual, worldwide, royalty and payment- free license to use and reproduce such Material in the Program and in the connection with any promotion, publicity, marketing or advertisement for the Program or any exploitation of the Program, in Page 6 of 7
whole or in part, of any kind, in any and all media now known or which may exist in the future. I understand that the Producers make no representation whether or not such Material will be used in any manner whatsoever. I irrevocably and absolutely grant the rights hereunder whether or not I am selected to participate in the Program. I acknowledge that Producer will rely on this permission potentially, and at substantial cost, and hereby I release Releasees from any and all liability arising out of their use of my Likeness and/or the Material (including, without limitation, any claim that any such use invades any right of privacy and/or publicity and any claims based on defamation, libel or false light) and I no event will I have the right to seek or obtain injunctive relief. I represent and warrant that: a) I have the right to grant the rights conveyed hereunder; b) statements made by me are true, to the best of my knowledge, and that neither they nor my appearance will violate or infringe upon the rights of any third party and I shall indemnify Releasees and hold Releasees harmless from any liability or claimed liability in connection with my appearance, Material, Likeness and/or any words spoken by me in connection herewith. Any offer to become a participant on the Program may be conditioned upon my submission to a background check, and physical and psychological examinations to be conducted by medical professionals (selected by and paid for by Producer) and the certification of the medical professionals that I meet all physical and psychological requirements. I am willing to submit medical information to the Producer, and I will submit to any said medical examination, psychological examination, and background check. I acknowledge and agree that any information disclosed to me or obtained by me in connection with the Program or Producer, including but not limited to the concept of the Program, shall be strictly confidential ( Confidential Information ) and I hereby agree not to disclose any such Confidential Information to any individual or entity. Disclosure by me in violation of this Release shall constitute a material breach of this Release and I agree that Producer shall have the right to utilize all available remedies under the law This Release shall be governed by and interpreted in accordance with the laws of the State of California and I agree to submit to the jurisdiction of the State of California. If any provision of this Release is invalid, illegal or unenforceable in any jurisdiction, such provision shall be ineffective only to the extent of such invalidity, illegality or unenforceability, without affecting in any way the remaining provisions hereof in such jurisdiction or rendering that or any other provision of this Release invalid, illegal or unenforceable in any other jurisdiction. No waiver by the Producers of any term or condition of this Release will be construed as a waiver by the Producers of any other term or condition; nor will the waiver by the Producers of any default under this Release be construed as a waiver by the Producers of any other default. It is further understood and agreed that no failure or delay in exercising any right, power or privilege hereunder shall operate as a waiver thereof, nor shall any single or partial exercise thereof preclude any other or further exercise thereof or the exercise of any right, power or privilege hereunder. The Producers may freely assign, in whole or in part, any of their rights or obligations under this Release. I may not assign my rights and obligations under this Release. Until such time, if ever, I execute a Participant Agreement, this Release shall constitute the entire understanding between Producers and me and replaces any and all former and contemporaneous agreements between Producers and me, whether oral or written. This Release cannot be terminated, rescinded or amended except by an agreement signed by both me and the Producers. I warrant that I am at least 18 years of age (or, if not, that my parents or legal guardian have agreed to the foregoing and signed below) and that I have the full and unrestricted right to enter into this Agreement. I have signed this Appearance Release as of the day of, 2015. Signature: Print Name: Address: City/Sate/Zip: Telephone: Page 7 of 7