THE CUBE is returning to ITV1 for a seventh series and YOU could be competing against it to

win a life changing amount of money.

Do you have what it takes to beat The Cube?
If you are over 18 you can apply to be a contestant on the next series. Remember, there are no
general knowledge questions to answer The Cube will set you a series of simple tasks to complete
for the chance to win 250,000. The only person you are competing against is The Cube.
Please complete this application form in full and return it to us via email to
thecube7@objectiveproductions.com with the words COMPLETED APPLICATION in the subject
field. This will automatically direct your form to us. We will be unable to accept any forms sent to us
via email without this subject title. Please note that you will not get a confirmation email once you
send us your completed form but rest assured we will have received it if you followed the above
instructions. You only need to submit your form once.
Please note that the deadline for application returns is midday on Wednesday 13th February 2013.
Any applications received after this date will not be considered.
Once we have received applications we will invite selected people to auditions. If we need to contact
you, you will receive either a phone call or email so please ensure you give us your correct details
and keep checking your emails.
*Please note that due to the number of application forms we receive we may not be able to read and
consider all completed forms*

THE CUBE APPLICATION FORM

Please complete this form giving as much detail as possible.

First Name

Hasina

Surname

Rassuli

Age

15

Occupation

Student

PLEASE ATTACH PHOTO HERE

DOB

3rd January 2001

YOUR CONTACT DETAILS:

(Please ensure you give as many ways of contacting you as possible).

Mobile No.

07529473859

Home No.

02094374563

Work No.

02043874954

Email address Student1@gmail.co.uk

Home address 22 Jump street, surrey,
Postcode

KT12 1JD

APPLICATION QUESTIONS

Who do you live with? (Names, relationships and ages and if theres anything else youd
like to tell us about them)
Dad
Mum
Twin
Sister (older)
Brother (toddler)

What 3 words do you think your friends and family would use to describe you?
1. Weird

2.Funny

3. Responsible

Please list 3 amazing / funny / interesting facts about you:

1. Part of quidditch team
2. I work in MI9
3. I have been skydiving

Please list your 3 greatest achievements Nb. Please remember a lot of people tell us that their
greatest achievements are their children or getting married, but wed like to hear something interesting about
you tell us what youve done that youre proud of!

1. Gone skydiving and survived

2. ran a marathon
3. applied in the olympics

Do you have any ambitions / what would be your dream come true? Please give details:
To be successful and rich, own some houses go on holidays every year and have a movie lifestyle.

Do you have an amazing party trick / a special talent?

Juggling

Are you a member of any clubs or societies? If not, are there any regular activities that you
participate in?
Royal society of medicine

What would you do with a huge, life-changing amount of money if you won it and why?
Give as many options as you like Nb. Please remember a lot of people say theyd pay off the
mortgage or take the family on holiday is there something incredibly unique, funny or interesting that
youd like to do with this life changing amount of money? Please use additional paper if needed
Hire a jet and buy an island and design the island like a place that looks like narnia

Have you watched the Cube before? If so, which were your favourite and least favourite
games?
Nope never watched the cube

Tell us why you think youd be a great contestant on our show, and why you think you have
what it takes to beat the Cube!
I would make the show entertaining and focus on activities along with the entertainment. I would be confident and
make it a memorable time for the show and for the viewers so they always remember how fun being in the cube
show is.

If youre successful you will be asked to invite 3 or 4 friends / family to the studio to support
you (please note they must be happy to appear on camera). Please tell us who they would be,
how you know them and most importantly what help you think theyd be able to offer you?
Nina Dobrev, bubbly enthusiastic and funny.
Ian somerhalder, supportive.
Paul Wesley, Funny, nice

Have you applied to take part in a previous series of the Cube, if so were you invited to
audition?
No

Have you or your nominated friends/family ever appeared on TV before? If so please list
dates, name of TV programme and prizes won (if any). Please also note if you have recently
applied for any shows: (please use extra paper if needed)
No

AUDITION LOCATION

Please place a 1 in the box for your first preference audition location. Auditions will be
taking place in February 2013.
Unfortunately we cannot guarantee you an audition in your first choice.
1

London

Manchester

FILMING DATES
If youre successful, you will need to be available (along with your supporters) for 3 days
during the following period. It is unlikely you will be needed for all 3 dates but the more
flexible you are during this time the better! Please cross ALL the dates you are available on
(contestants will be needed in London from 2pm 10pm, supporters will need to be
available from 5pm 10pm each day).
4th
March
2013

5th
March
2013

6th
March
2013

7th
March
2013

8th
March
2013

yes

yes

yes

no

no

If you need us to make any special arrangements to facilitate your attendance at an

audition or filming in the studio, please provide details below:
no

Do you have any criminal convictions? (Please cross)

This may not affect your application, however if you are involved in the programme we will need to be aware
of this.

Yes

No

If yes, please state details. If you would prefer to discuss this with us please specify:

ACKNOWLEDGEMENT: PLEASE READ THE FOLLOWING CAREFULLY

I the undersigned hereby confirm that the information supplied in this application is correct. I understand that due to
the expected volume of applications my application may not be read and that I may not be invited to an audition and
that I will not hear from Objective Productions if I am unsuccessful.
AGREED AND ACCEPTED

SIGNED
PRINT NAME

Hasina Rassuli

Objective Productions Limited (Objective) will ensure that any information provided by you for the purpose of
developing and producing the Cube (the Programme) will be used in accordance with the Data Protection Act
1998. All information will be kept secure and treated as confidential. Any disclosures of information will only be
made with your permission (which includes any permission that you give here or in the rest of the application
process). We will not publish your contact details. Your personal information will not be used for any other direct
commercial purposes including direct marketing.
Your personal information will be shared with members of the Programme production team and relevant staff at ITV.
By submitting this application form you are consenting to the use by Objective and ITV (and their officially appointed
agents and licensees) of your personal information and any supporting information for the purpose of:
- selecting potential participants for the Programme
- to assess whether you are a suitable participant
- developing and producing the Programme any associated programme and any merchandising (in whatever format)
and the publicity promotion distribution and exploitation thereof.
Objective also finds it useful to keep the personal details of applicants on file so that we can contact them in the
future to find out if they are interested in participating in another one of Objectives programmes. By signing this
agreement, you give us your consent under the Data Protection Act 1998 to store any data disclosed by you to us, so
that we may contact you for the purpose set out at this paragraph. If you do NOT want us to keep your personal
details on file for this purpose, please mark the box below:
I do not wish you to keep my personal details on file for the purpose described in the above
paragraph
You have the right of access to the information held and used by Objective. If at any point you decide that you no longer
want us to hold, use or process any of your personal information or you want to update your contact details please email
us at info@objectiveproductions.com marking your email Data Protection Request and we will amend or remove your
personal information from our records.
ITVs Programme Recruitment Terms and Conditions apply, see here for details:
(http://www.itv.com/termsconditions/itvprogrammerecruitmentterms/)