STRICTEST PARENTS APPLICATION FORM

WORLD’S STRICTEST PARENTS
APPLICATION FORM

ARE YOUR PARENTS TOO STRICT?

ARE THEY TIRED OF YOUR ATTITUDE?

DO YOU WANT TO TRY OUT SOMEONE ELSES FAMILY - ABROAD?

BBC Three are sending UK teenagers to Africa, America and Asia to experience family life in different cultures around the globe.

If you’re aged 16 or 17 and ready for a once-in-a-lifetime cultural adventure, then fill out the form:

All questions marked with a (*) must be answered
YOUR PERSONAL DETAILS:
Full name: *
Date of birth and age: *
Place of birth: *
Gender (please select)	Male Female
Home address: *
E-mail address:
Home tel. number: *
Mobile number:

YOUR SCHOOL/COLLEGE DETAILS (if applicable):
School/College’s name: *
School/college’s address: *
Telephone number:
Headteacher’s name:
Head of year’s name:

ABOUT YOU:
DESCRIBE YOUR RELATIONSHIP WITH YOUR PARENTS? *
DO YOU ARGUE WITH YOUR PARENTS? IF SO, WHAT ABOUT? *
IF YOU WERE TO HAVE CHILDREN, WOULD YOU BRING THEM UP DIFFERENTLY? IF SO, HOW? *
IS THERE ANYTHING YOU ARE NOT ALLOWED TO DO AT HOME THAT YOU WISH YOU COULD? *
WHAT FIVE WORDS BEST DESCRIBE YOUR PARENTS? *
WHAT DO YOU DO IN YOUR SPARE TIME? ARE YOU A MEMBER OF ANY CLUBS? *
DO YOU HAVE A BOYFRIEND OR GIRLFRIEND? IF SO, WHAT IS YOUR PARENT’S ATTITUDE TOWARDS THEM? *
DO YOU GO OUT WITH FRIENDS A LOT? HOW MANY NIGHTS A WEEK? DESCRIBE YOUR AVERAGE NIGHT OUT. *
WHAT WOULD YOU MISS MOST IF YOU WERE AWAY FROM HOME? *
DESCRIBE THE MOST ADVENTUROUS THING YOU’VE EVER DONE? *
WHAT IS THE MOST CULTURALLY DIFFERENT COUNTRY YOU HAVE EVER BEEN TO AND WHAT WAS IT LIKE? *
WHAT’S THE WORST THING YOU’VE EVER BEEN CAUGHT DOING? *
TELL US SOMETHING THAT WE WOULD BE SURPRISED TO HEAR ABOUT YOU *
DESCRIBE YOUR HOME AND THE AREA WHERE YOU LIVE *
HOW DO YOU FEEL ABOUT LIVING IN SOMEONE ELSES HOME FOR 10 DAYS? *
DO YOU HAVE ANY BROTHERS AND SISTERS - HOW OLD ARE THEY, AND DO YOU LIKE THEM? *
WHY SHOULD WE PICK YOU FOR THE SHOW? *

EQUAL OPPORTUNITIES MONITORING: This information will be treated in the strictest confidence and will be used only for statistical monitoring. It is not part of the selection process.
Please answer all questions
Ethnic origin	Asian / Asian British Black / Black British Middle / Near Eastern Mixed Ethnic Group White Black Other Chinese Other (please specify)
Disability: Do you consider that you have a disability?	Yes No
If yes, which of the following descriptions best describes the disability?	Visual (NOT including wearing glasses or contact lenses) Co-ordination, dexterity or mobility Mental health Speech Learning Difficulties Hearing Combination of above or other physical or medical conditions - please specify
Are you on long-term medication for any of the following?	Asthma Diabetes Epilepsy Other (please specify)
If you are unable to send this form in via the internet please print it out and send it to: Strictest Parents, Twenty Twenty Television, Suite 2, 20 Kentish Town Road, London NW1 9NX.

Please note that there are 24 questions that require answering on this form. If you submit this form with one required field empty then all your answers will be lost.