NOTE: Before you begin to fill out the application, please note that you will be asked to upload two photos (no hats, no sunglasses) and a short video of yourself. You must complete the application in one sitting.
Please complete the following application as thoroughly as possible. If a question does not apply to you, please be sure to write “N/A” in the space provided.
Any question that has an asterisk (*) next to it means that an answer is required in order for you to submit a completed application.
If you have issues applying online, you can email us at: firstname.lastname@example.org
First Name *
Last Name *
Cell Phone *
Date of Birth *
If you selected "other", please specify.
What industry do you work in? *
What is your current job title? *
Please list ALL social media handles *
Describe your current living situation (i.e. who do you live with?). *
Describe your personality *
What is something people would never know just by looking at you? *
What struggles/challenges have you overcome in your life? *
Describe your physical activity level (i.e. marathon runner, competitive sports, yoga, cycling, aerobics...) *
Do you have any special talents we should know about? (i.e. singing, playing an instrument, solving puzzles, martial arts, etc.) *
Why are you applying for the opportunity to travel to outer space? *
When did your love for space and space travel begin? (Who or what inspired you?) *
What would winning a ticket to space mean to you? *
Do you have any physical conditions that may impair your ability to participate in physical activities? *
If yes, please note below.
Are you currently under consideration for any other shows? If yes, please list. If this doesn't apply to you simply write N/A. *
Have you applied for any other shows? If so, what are they. If this doesn't apply to you simply write N/A. *
Have you been on TV before? If so, list the show(s), network(s) and date(s) they aired. If this doesn't apply to you simply write N/A. *
Please upload a clear and recent photo of your face (without sunglasses on). *
Please upload a clear and recent (full body) photo of yourself.
Lastly, we HIGHLY ENCOURAGE you to upload a (30-60 second) video of yourself (if you can). Please answer these questions on your own. You can also make one here through our video recorder.
* Tell us your name, age, city and what you do for a living.
* Tell us why you want to travel to space and what you love about outer space and space travel.
(we love personality so don't be afraid to have fun with it!)
PLEASE READ AND ACCEPT THE FOLLOWING *
Today's Date *