Name

Age

Address

Phone Number

Cell

Height

Weight

Email address

Occupation

Please answer all questions seriously and honestly.

NOTE: In filling out application, please only provide us with the contact information of people
who you give us permission to contact as references or as means to contact you.

Please list below, anyone you know or have known who is now, or has been in the past two years,
an employee, agent or representative of MAN of STEEL Magazine or any of its affiliated or parent
companies________________________________________________________________

Have you ever applied to appear and/or appeared as a participant, contestant or in a similar role in
a free, basic or pay cable television show, including
commercials or in any motion picture, film or in any other professional theatrical medium? If so,
list the shows and dates:

IF CHOSEN TO BE ON THE SHOW, IS THERE ANY PERSON OR PART OF
YOUR LIFE THAT YOU WOULD PREFER NOT TO SHARE ON-CAMERA (I.E.,
SOCIAL ORGANIZATIONS, ACTIVITIES, FRIENDS, FAMILY)?

Are you a legal resident of the United States or Canada? Or other Country?

Where did you grow up?

RELATIONSHIPS:

What do you look for in a mate?

Have you ever dated someone for the wrong reasons? Explain:

What was your longest relationship? Why did it break up?

What is the craziest thing you have ever done to get a date?

What is the craziest date you’ve ever been on?

Ever date more than one person before and not tell either party? What lies or

excuses did you use?

What is the craziest thing that you have ever done to prove that you loved someone?

If you had to pick a #1 character witness for you, who would it be and what is that

person’s phone number?

What is your best physical attribute/characteristic? Why?

What is your worst physical attribute/characteristic? Why?

List your hobbies:

Have you ever been married?

List your talents:

What would the topic you would like to talk on our interview?

Education:

What is the craziest college prank you were ever involved in:

List any sports that you were involved in (including awards, letters, trophies, etc.)

EMPLOYMENT

List your three most recent jobs:

What is your weirdest job experience:

PART II: ELIGIBILITY REQUIREMENTS AND RELEASES for E-REALITY SHOW 

1) You must be a legal U.S. or Canadian resident.

2) You must be at least 21 years of age.

3) You must not be a candidate for public office and must agree not to become one until
after the initial broadcast of the program in which you appear, if selected as a participant.

4) You or any of your immediate family members may not be employees, directors,

or agents of MAN of STEEL Magazine or their respective affiliated companies.

5) You must not have appeared in more than two (2) television shows within the last
five (5) years from the tape date of the program in which you may appear. In addition,
you may not have appeared on more than one (1) television show within the past twelve

(12) months from the tape date of the program in which you may appear (regardless of
whether such appearance has been broadcast or cablecast).
6) If selected as a participant you must execute such documents required by 
MAN of STEEL Magazine or its designee, including without limitation a release and
waiver agreement.

7) You will need to be available to the production and be willing to travel to a selected location.

I hereby acknowledge that: (i) I have answered the previous questions honestly and
accurately; (ii) if any of the above information is found to be false or incomplete this will
be grounds for dismissal from the participant selection process, and/or from the “MAN of STEEL 
Dating” program (the “Program”), if selected; (iii) Producer has no obligation to
interview me, and/or select me as a participant; (iv) even if I am selected as a participant,
Producer has no obligation to conduct the Program or to display it, even if conducted; (v)
all decisions by Producer concerning selection of the participants is final and not subject
to challenge or appeal; and (vi) Producer has no obligation to return any materials
submitted by me as part of the application whether or not I am selected as a participant.
By submitting this application I hereby consent to the recording, use and reuse by 
MAN of STEEL Magazine (collectively, “Producer”),
and any of its respective licensees, assignees, parents, subsidiaries, or affiliated entities
and each of their respective employees, agents, officers and directors (collectively
“Releasees”) of my voice, actions, likeness, name, appearance, biographical material, and
any information contained in my application to be a participant in the Program (as
defined below) or in any materials submitted by me in connection with my application
(collectively “Likeness”) as edited, altered, or modified by the Producer, in any and all
media now known or hereafter devised, worldwide in perpetuity, in or in connection with
the Program. I agree the Releasees may use all or 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 (including, without limitation, all copyrights)
in and to any video that I have provided in connection with my application and any other
materials that I have provided or may provide in connection with the Program (the

“Materials”) including, without limitation, the right to edit, alter or modify the Materials
and to use all or part of the Materials and my Likeness in any and all media now known
or hereafter devised worldwide, in perpetuity. I further agree that Releasees may use my
Likeness and the Materials in connection with any promotion, publicity, marketing or
advertisement for the Program. I grant the rights hereunder whether or not I am selected
to participate in the Program in any manner whatsoever. I release Releasees from any and
all liability arising out of its recording or use of my Likeness and/or the Materials. I agree
not to make any claim against Releasees as a result of the recording or use of my
Likeness and/or the Materials (including, without limitation, any claim that such use
invades any right of privacy and/or publicity). I understand that I will not be paid any
money for giving Releasees these rights, or for signing this application.

I have read, understand, and agree with the foregoing.

Signature:

Date:

Name (Please print or type)

Thank you for your time and effort in completing the form.