If I were on Gilligan s Island, I would be (circle one): Gilligan, The Skipper, Thurston Howell, Lovey Howell, Ginger, The Professor, Mary Ann. do not write in this space Name: Address: City State: Zip: Phone Numbers: Home: Work: Cell: Pager: Fax: Relative: E-mail: Birthdate: Age: Height: Weight: Hair Color: Eye Color: Social Security Number (Required) How did you hear about our search? Radio Television Magazine Other, explain: Are you currently: Working Full Time Working Part Time Unemployed Student Occupation: Do you have any children? Yes / No If so, how many and what are their ages?
Annual Salary: What is your highest level of education? Degree(s): School(s) Attended: Do you belong to any affiliations or organizations? Are you a legal resident of the United States? Y N Have you ever been arrested, charged with or convicted of a crime of any type? Y N If so, please give details and dates: Have you ever been arrested, charged with or convicted with a violent offense? Y N If so, please give details and dates: Have you ever had a temporary restraining order issued against you? Y N If so, please give details and dates: Have you ever filed for bankruptcy or chapter 11? Y N If yes, please explain Page 2 of 15
Have you ever been a performer, participant or contestant on television, radio or in film? Y N If yes, please explain. Have you ever been treated for any serious physical illness(es) within the last three years? Y N If yes, please describe in detail, citing dates, diagnosis, and any on-going problems: Have you ever been treated for any mental illness(es)? Y If yes, please describe in detail, citing dates, diagnosis, and any on-going problems: N Please list any allergies you have (medications, food, etc) and your form of treatment: Have you ever been married? Y N If so, how many times? Have you ever been divorced? Y N If so, why and for how long? Where did you grow up? What are your hobbies? Page 3 of 15
What is a unique talent you are most proud of? List the 3 adjectives that best describe you: What accomplishment are you most proud of? Do you have any pets? If so, please list their name and type. Are you a competitive person? Can you swim? Y N Are you a fan of the original Gilligan s Island series? Y N What type of people would you NOT want to share the island with? What intrigues you about being on The Real Gilligan s Island? What fears do you have about being on The Real Gilligan s Island? Page 4 of 15
Which character do you relate with most and why (Gilligan, professor, etc.)? What is your favorite Gilligan s Island moment? What skills do you possess that would make you a useful member of the cast? What do you like or dislike about outdoor wilderness activities? What would be your favorite part of being stranded on a deserted island? What would be your least favorite part of being stranded on a deserted island? Page 5 of 15
If you were ever stranded, which 3 people would you hope to be stranded with? Is there anytime between now and the end of the year that you are not available? What would you do with the cash prize? Please list below anyone you know or have known who is now, or has been in the past two years, an officer, employee, agent or representative of: (a) Time Warner Entertainment Co., L.P., Telepictures Productions, AND Syndicated Productions, Inc., Next Entertainment, Turner Broadcasting Systems, Inc., Superstation, Inc., the TBS television network or any of their respective affiliated, subsidiary or parent companies; and (b) Any person or entity involved in the development, production, distribution or other exploitation of the The Real Gilligan's Island series ( the "Series") or any variation thereof. Page 6 of 15
Have you ever done or been involved in anything that would reflect negatively on you or on the Series, the Series producers and/or the television network or station that broadcasts the Series if you are chosen to participate in the Series? Y N If yes, please explain: All participants must provide the following documents when submitting the Participant. Failure to do so will result in delaying the processing of your Participant and/or may result in eliminating you from further consideration: Recent Photographs Photocopy of Current Drivers License I acknowledge that all the information provided on this questionnaire is true and accurate, and any false or misleading information submitted herein is grounds for my immediate elimination from consideration. This questionnaire and any other material submitted by me, including, but not limited to, pictures, film and videotapes, and any video or other recordings made of me by producer or others in connection with my potential participation in the program becomes the property of AND Syndicated Productions, Inc., shall not be returned and may be used in any manner in all media, worldwide, in perpetuity. I further understand that by submitting this questionnaire, Producer has no obligation to accept me and my selection and participation in The Real Gilligan s Island is in no way guaranteed, as it is merely for the purpose of evaluating potential participants. I further acknowledge and agree that if I am selected for consideration as a participant the Series, I may be required to undergo psychological and/or physical examinations and consent to background investigations. I acknowledge that I have read and fulfill the eligibility requirements and all the information provided on this questionnaire is true and accurate, and any false or misleading information submitted herein is grounds for my immediate elimination from consideration. Signature: Date: Page 7 of 15
THE REAL GILLIGANʼS ISLAND Mail the The Real Gilliganʼs Island Application, photos, and video tape of yourself telling why you should be on the show to the following address: (photos and videotapes will not be returned) Gilliganʼs Island Casting 14622 Ventura Blvd. Box #316 Please submit tapes by 7/15/04! Sherman Oaks, CA 91403 (Please write character name on envelope) **When making your videotape, please be yourself and tell us about your family, hobbies, job, pets, passions, etc. Show us what is unique about you and your life. Also include why you think youʼd be a great castaway on The Real Gilliganʼs Island.** *****Please complete of the following pages based on what character you would be if you were on The Real Gilliganʼs Island.*****
Gilligan: 1. Do you (or anyone you know) think you re clumsy, goofy, nerdy, etc.? 2. What s the nerdiest thing about you? 3. How do you feel about doing manual labor? 4. How are you at taking orders? 5. What would you miss most if you were stranded on a deserted island? 6. Do you have any experience at sea? Be specific. 7. How are you similar to the original Gilligan? 8. What makes you the best Gilligan? 9. Why would you want to do this? Page 9 of 15
The Skipper: 1. List all jobs you ve had pertaining to boating. 2. How long have you been a ship s captain? 3. When and how did you get your first boat/ship? 4. Are you superstitious? Explain. 5. Are you a natural leader? Explain. 6. How are you similar to the original Skipper? 7. Why would you make the best Skipper? 8. Why would you want to do this? Page 10 of 15
Page 11 of 15 Thurston Howell: 1. What s your net worth? 2. What type of business are you in? 3. How many companies do you own? Are you on the board of any companies? 4. How many homes do you own? 5. Was your fortune inherited or earned? 6. Where did you go to college? 7. How did you meet your wife? How long have you been married? 8. What do you like to do to relax? What are your hobbies? 9. Why would you want to be on a deserted island? 10. Who would have a harder time on the island, you or your wife? Why? 11. How is your wife like Lovey? 12. Why would you and your wife make the best Howell s? 13. How are you similar to the original Thurston?
Lovey Howell: 1. How did you meet your husband? 2. Were you independently wealthy before you got married? 3. How often do you appear in the society pages? 4. How many social functions do you attend in a month? What kind? 5. Are you involved in any charities? Which one(s)? 6. Why would you want to be stuck on a deserted island? 7. Have you ever had to rough it before? How & when? 8. How is your husband like Thurston? 9. How are you similar to the original Lovey Howell? 10. Why would you be the best Lovey? Page 12 of 15
Ginger: 1. What Movies/TV shows/broadway shows have you been on? 2. What would you do to keep things fun on the island? 3. Where are you from? 4. How do you feel about wearing couture on an island? 5. List your favorite designers. 6. What s your biggest fear? 7. Who do you think you d be best friends with on the island? 8. How are you similar to the original Ginger? 9. What makes you the best Ginger? 10. Why would you want to do this? Page 13 of 15
The Professor: 1. What universities have you attended? 2. What degrees have you received? 3. What s your favorite subject to study/teach? 4. What languages do you speak? 5. What are your hobbies? 6. Do you consider yourself to be a handy man? 7. Do you think you d be able to get off the island? How? 8. Have you ever invented anything? What? 9. How are you similar to the original Professor? 10. What would make you the best Professor? 11. Why would you want to do this? Page 14 of 15
Mary Ann: 1. What were your favorite things to do back home? 2. Are you a good cook? 3. Did you ever win any awards through 4H, county fairs, state fairs, etc.? What did you win? 4. Would you take care of your fellow castaways and make sure they re all fed and clothed? How? 5. Where are you from? 6. What kind of pies can you make? 7. How are you similar to the original Mary Ann? 8. Why would you be the best Mary Ann? 9. Why would you want to do this? Page 15 of 15