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The Mole Betrayal
Sign Up Form

Sign Up for "The Mole: Phase 1."

Below is the sign up form. You may use your imagination in the answers if you'd wish. But, keep the age above 19. Fill out the form and send it into my e-mail.
 
 
 

The Mole 1: Applicant Info  

1) Name: __________ ___________

2)   Sex: ________

3)   Age: ____

4)   Height: __________

5)   Weight: _________­

6)   Occupation: ___________

7)   Hometown: ____________

8)   Birth Date: _________

9)   Married: _________

10) Zodiac Sign: ___________

11) Eye Color: _________

12) Hair Color: _________

13) Foreign Languages Spoken: ____________

14) Musical Instrument(s): _________

15) Best Quality: ___________

16) Worst Quality: _________

17) Bad Habits: __________

18) Favorite Music: __________

19) Worst Fear: ________________________________

20) Most Embarrassing Moment: ___________________

21) Favorite Color: _________

22) Favorite Food: _________

23) Favorite Drink: _________

24) Favorite Book: ______________

25) Favorite Movie: _____________

26) Favorite Season: ____________

27) Favorite Animal: _____________

28) Pet (Type): ___________

29) Pet Name(s): _______________

30) Lucky Number: _________

31) Please include a paragraph on why you think you would be a good contestant for The Mole: Phase 1. 

32) Please indicate your e-mail for us to notify you if you will be a contestant on the show.

33) Would you like to be the Mole?

Yes__No__

 

E-Mail your Applicant Info Form to:

mateui@hotmail.com

 

 

 

 

 

  


Created by Mateui N.