Naked & Afraid Casting Application

First Name *

Middle Name

Last Name *

Cell Phone *

Home Phone

Email *

Occupation *

Height *

Weight *

Street Address *

City *

State *

Hometown *

Twitter Handle *

Facebook Account Link *

Instagram Account *

How did you hear about this show? *

Who is your main contact at Metal Flowers Media? *

Are you 21 years of age or older? *

Do you currently have a valid driver's license? *

Are you a US Citizen or a permanent legal resident of the United States? *

If you are not a citizen, what is your nationality? *

Do you currently have a valid passport? *

If yes, what is the expiration date?

Are you restricted from traveling outside the United States for any reason? *

If yes, please explain in detail. *

Are you available for approximately 4 weeks of filming between March and November, 2023? *

Are you currently married? *

If yes, what is your spouse's name?

Have you previously been married? *

If so, please list the name(s) of any former spouse(s), city(ies) and state(s) in which divorce(s) was (were) granted, and the date(s) of divorce(s): *

Please select all that apply: *

How long have you been in your current relationship, if any?

Do you have any children, whether biological or adopted? *

If Yes, please list all children’s full names, ages, with whom they reside and where:

Do you have any conditions or special needs, medical or otherwise, that could materially affect your health and/or safety while participating in the Program (e.g., medication that you must take on a regular basis)? *

Do you have any vaccinations? *

If yes, please list: *

Is there any medical reason you cannot get vaccinated? *

Are you a daily smoker (tobacco or marijuana) and/or drinker? *

Have you suffered a traumatic event within the last year? (Death of a close one, serious accident, serious illness, etc.) *

Have you attempted suicide in the past year? *

This show will test your body and mind to the extreme. Your safety is paramount to us. Please do not conceal information
that could jeopardize your health/safety while on the show. Is there anything else pertinent we should know in regards to your health? *

Have you ever been arrested, detained or convicted of a felony or misdemeanor offense either as a juvenile or as an adult? If so, please provide details and dates. (You should exclude convictions more than two years old for any marijuana offense, convictions for which the record has been judicially ordered sealed, expunged, or statutorily eradicated, and any misdemeanor conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed.) *

Have you ever been or are you currently involved in any litigation? If so, please explain in detail. *

Have you ever had a restraining order issued against you? If so, tell us about it. Give details, including, without limitation, date(s), place(s), name of the party seeking the temporary restraining order and relationship of such party to you, and a description of the basis upon which the temporary restraining order was sought, whether it was issued, and the basis upon which it was issued. *

Do you have any outstanding warrants? If so, please explain in detail. *

Have you ever placed a restraining order against someone else? *

Please list the names of any television shows you on which you have appeared: *

Please list the names of any television shows for which you have applied: *

If you have previously applied for Naked & Afraid, please list years of previous applications:

Is there anything that you would feel embarrassed or uncomfortable doing on TV? *

Please describe the locations and designs of any tattoos you may have: *

Have you watched a complete episode of Naked & Afraid? *

Do you understand that this will be one of, if not the hardest challenge of your life? (And possibly the most rewarding if you complete the challenge.) Are you prepared to endure 21 days with no assistance from production, find your own food and water and spend the night outside, rain or shine? *

Why do you want to take on this challenge? Why do you want to be on Naked and Afraid? This is perhaps your most important answer. Dig deep. Take your time to answer. And then tell us... what is the real reason you want to do this show? *

Explain to us your understanding of our show. *

Describe yourself to us…tell us a brief history of you. *

Who is your current employer and occupation? (What job pays your bills now?) *

Please describe in detail all education completed beyond high school: *

Do you have any military experience? *

Are you active, reserve, or retired military? *

If so, please describe branch, rank, job, and dates of enlistment: *

What SPECIFIC primitive skills do you have that will enable you to complete the challenge? Please list all you feel confident in: *

What SPECIFIC mental skills do you have that will enable you to complete the challenge? Please list all you feel confident in: *

How did you learn these skills?

Please list all of your survival training:

What’s the longest you’ve survived primitively outdoors? Where and when? *

Have you ever been in a real life survival situation? Please explain.

Where does your passion for primitive survival and the outdoors come from? *

What’s the greatest adversity you have overcome in your life and how did you do it?

If on a team, what is usually your role? (Leader? Peacemaker? Comic relief? Loner? Etc.) *

What is your secret weapon?

Who is your hero and why? *

What would your friends say are your three best personality traits? *

What would your friends say are your three worst personality traits? *

What personality types do you get along best with?

What personality types do you NOT get along with?

What are your biggest pet peeves?

What do you feel strongly about? What makes your blood boil when you watch the news? Could be anything. Anything at all.

What makes your heart melt? What do you have a ‘sweet spot’ for?

Do you agree to be naked on television, in the spirit of the integrity of the project? Note that sensitive areas will be “blurred out”: *

What do you think about being naked as part of this experience? *

What do your friends, family and/or significant other think about you being naked as part of this experience? *

How do you feel about the opposite sex? *

How do you feel about being naked with a stranger of a different sexual orientation? Do you have any past issues that would cause you mental anguish about being partnered with a naked stranger?

What is something that no one else knows about you? *

Is there anything else we should know about you that may come up in a Google search or background check? *

ELIGIBILITY REQUIREMENTS AND RELEASES *

I have read, understand, and agree with the foregoing. I UNDERSTAND THAT I AM GIVING UP CERTAIN LEGAL RIGHTS UNDER THIS APPLICATION & RELEASE, INCLUDING, WITHOUT LIMITATION, MY RIGHT TO FILE A LAWSUIT IN COURT WITH RESPECT TO ANY CLAIM ARISING IN CONNECTION WITH THIS APPLICATION & RELEASE . *

Today's Date *

Address *

Date of Birth: *

Please Upload a Photo of the Front of Your Driver's License *

Please Upload a Photo of the Back of Your Driver's License *

Please Upload a Photo or Scan of Your Passport *

Please Upload a Recent Photo of Yourself *