Name
Birthdate
Month
1
2
3
4
5
6
7
8
9
10
11
12
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Email
Address
Phone
Alternate Phone
Occupation
Marital Status: if married, how long?
Do you have children and what are their ages?
About the person you're trying to locate: (Fill in as much as possible.)
Name
How is this person related to you?
Birthdate and location (including hospital if possible):
Last known address or whereabouts:
Last known phone number and email address:
Aliases or nicknames that this person has used:
Please list any schools he or she attended and give approximate dates
Has this person ever been married? Where, when and to whom?
Has this person ever served in the military? If so, please list what branch, ID number, and tour of duty information.
Has this person ever been arrested? Where and when?
Does the person you're trying to locate have any distinguishing marks such as tattoos or scars?
Does the person you're trying to locate have any striking physical features (unusually tall/short, bald, etc)?
If you're an adoptee trying to locate biological family: (Fill in as much as possible.)
Birth Name
Birth Parents
Adopted Name
Date of Birth
Birth State
Birth City
Hospital Name
Attorney Name
Adoption Agency's Name
Attorney Name
Adoptive Parents' Names
Additional Information
The following information helps to build your story and does not necessarily disqualify you from participation in the show. Please answer truthfully.
Have you ever been convicted of a felony?
Have you ever been arrested?
Are you currently taking any medication?
Have you ever received counseling or has a doctor recommended counseling?
Have you ever been in the military? If so, please list what branch, ID number, and tour of duty information. Were you honorably discharged?
Please list any unions or organizations to which you belong.
Please list any aliases or nicknames you have gone by in the past.
How would the people closest to you describe your personality?
How do you handle high-pressure situations?
Why do you want to be a part of this show?
Why do you want to reconnect with this person?
When, if ever, was the last time you had contact with this person?
Describe the relationship you had with this person. What's your favorite memory together?
Describe the relationship you would like to have with this person.
How do you imagine this person will react to seeing you again (or for the first time)?
How would your life change if you reconnected with this person?
What steps have you taken to find this person?
How much time and/or money have you spent in the process?
What are you willing to do to find this person?
Are you currently in contact with anyone who is, or was, associated with the person you're trying to locate?
Who is the most supportive of you doing this?
Who is the least supportive of you doing this?
What's your greatest fear about participating in this show?
Is there any scenario where you think you'd be better off not reconnecting with this person?
Is there anything else you think we should know?
We need pictures of you and a quick home video. Please follow the instructions below and give us your best.
Picture Uploading
INSTRUCTIONS: Getting Started:
HAVE A FRIEND OR RELATIVE FILM YOU. It will make the quality of your DVD better.
MAKE SURE YOU ARE NOT BACKLIT. Standing in front of windows or other major light sources looks terrible on camera.
ROOM SHOULD BE WELL LIT TO AVOID SHADOWS.
STAND/ SIT IN FRONT OF A COLORFUL BACKGROUND so you don't appear washed out. White walls don't work.
DO NOT WEAR ALL WHITE OR BLACK OR ANY OUTFITS WITH INTENSE PRINTS as they may affect image quality.
SINCE THE MIC IS ON THE CAMERA, POSITION THE CAMERA CLOSE ENOUGH SO WE CAN HEAR YOU CLEARLY, AND SPEAK LOUDLY.
MAKE SURE YOUR FACE IS CLOSE TO THE MIDDLE OF THE FRAME.
Once you press record, here's what we'd like to see:
Start by telling us your name, age, where you live, and what you do for a living.
Next tell us who you want to find.
Then follow up by explaining to us why you want to find this person. Include the backstory between you and any efforts you've made to find them in the past.
Don't hold back- tell us what searching for this person means to you, tell us what you'll feel like if you reconnect and you get to see them face to face. Tell us what it would feel like to get bad news about this person or find out that don't want to reconnect with you.
Show us how important this is to you and be as specific as you can be so that you convey the emotion involved in your story.
Video Uploading
Upload Video Manual Video Submission
Security Code
