Beautiful-Authentic-You-Banner Online Application Form Name What city, state and/or country do you live in? Date of Birth Age Gender MaleFemale Email Phone Number When Is The Best Time to Call You? —Please choose an option—Central Standard TimePacific Standard TimeEastern Standard TimeAlaska Standard TimeHawaii-Aleutian Standard TimeMountain Standard Time Time —Please choose an option—9 AM - 10 AM10 AM - 11 AM11 AM - 12 PM12 PM - 1 PM1 PM - 2 PM2 PM - 3 PM3 PM - 4 PM4 PM - 5 PM5 PM - 6 PM Website What is your annual revenue? —Please choose an option—$50,000-$75,000$75,000-$100,000$150,000-$200,000$250,000-$300,000$350,000-$400,000$450,000-$500,000$500,000-and up Company/Organization Name How Long Have You Been In Business? What Is Your Profession? Please Tell Us About Yourself Why Do You Want to Host Your Own TV Show? Please Provide at Least Three Links to Your Current Video Content Please upload a current head shot of yourself Please upload your TV Show Pitch Download Sample TV Show Pitch TERMS OF SERVICE: Producer has no obligation to return any materials submitted by me as part of the TV Host selection process or in connection with my participation in the Program (the “Materials”) whether or not I am selected as a TV Host participant, and I hereby grant Producer the right to, and understand that Producer may, but is in no way obligated to, use any portion of the Materials in and in connection with the Program or any other program(s); and (x) Producer shall have the right to use my Likeness, the Recordings and the Materials in any manner, in whole or in part, in any and all media now known or hereafter devised in perpetuity throughout the universe should I be selected as a TV host on Sparrow Media TV Network, LLC. I have read and agree to the Terms of Service. Δ
