Application form for Survivor: Kiribati
First Name:
Last Initial:
Age:
Sex:
State/Providence/Country:
Time Zone:
E-mail Address:
AIM/AOL IM (You must have one of these):
List three adjectives that describe you:
Why would you make a good Survivor contestant?
Are you going to participate to you full ability?
Are you reliable?
An average of how many hours do you spend online a day?
Are you available from 7:00 -8:00 EST for most days?
Do you agree to all the rules?