First Name *

Email *

Last Name *

City *

State *

Date of Birth *

Cell Phone Number *

Please submit 3 recent photos of yourself.
Photo 1: *

Photo 2:

Photo 3:

Who is your current employer and what is your job title? *

What is your current occupation? *

List your last 5 jobs: *

Do you have any children? *

If yes, what are their names and ages?

Tell us why we should pick you for this opportunity to win millions. What makes you special, interesting, unique, entertaining to watch or inspirational? *

What is your motivation for doing this show? *

Have you received any special recognition or awards from your community/work/school/church etc? *

On a scale of 1-10 (1 being very little, 10 being you are an expert) please rank your strength at general trivia. *

Who is your first choice as your teammate? *

Date of Birth of Teammate *

Occupation of Teammate *

What is your relationship with your teammate? (e.g. Sibling, Spouse, Parent, Cousin, In-Law etc). Please describe your relationship and why it is so special. *

Do you or your teammate have any interesting hobbies or talents? *

Have you or your teammate ever volunteered, coached sports or had any other jobs? *

Have you or your teammate ever used a hobby, talent or trade to help someone outside of work? Examples: bake bread, fix cars, recycle *

Has your teammate received any special recognition or awards from your community/work/school/church? *

What are you super passionate about? If you could help others or make the world a better place, what would you love to do? *

Are you or your teammate a big gambler or adrenaline junky? *

What are the biggest personality differences between you and your teammate? Who is the bigger risk-taker? Who is more level headed and strategic? *

Between you and your teammate, who would be better at trivia and why? *

34. Who's better at solving riddles? You or your teammate? *

Why is your teammate deserving of this opportunity? (e.g. community service, good samaritan, a selfless act etc) *

What is your teammates best contact number? *

Please upload a recent picture of your teammate.

If you’re a fan of The Wall, tell us about it…. How many episodes of The Wall have you watched? What’s your favorite part? What position would you like to play? *

Do you know the rules of the game? Feel confident knowing when you can "double up" or "triple up"? *

Do you have a strategy with how you would play the game up front or in the back? *

Which of the following would you most likely take? *

Have you appeared on any game/talk/reality shows that have aired in the at any point in time? *

If yes, please list the Show Name(s), Air Date(s) and any prizes won below.

Have you ever been convicted of any crimes, including a misdemeanor or a felony? *

If yes, please describe in detail, tell us when and where the event occurred, and what the outcome was:

How did you hear about this show? *

Please give us more specifics on how you found this casting. If you were referred by someone or found by a recruiter, please give us their name and information below. If you were sent an email, please tell us who sent it. *

PART IV: 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, INCLUDING, WITHOUT LIMITATION, MY RIGHT TO FILE A LAWSUIT IN COURT WITH RESPECT TO ANY CLAIM ARISING IN CONNECTION WITH THIS APPLICATION. SIGN HERE: *