EMHE Nominee

Thank you for nominating a deserving family for EXTREME MAKEOVER: HOME EDITION. Please complete as much of this questionnaire as you can. Even if you don’t know the nominees personally but have read about them in the news or heard about them through your community, we are very excited to learn as much as you can share!

You must be 18 or older and a legal U.S. resident to nominate. DEADLINE TO SUBMIT HAS BEEN EXTENDED! Apply today before time runs out

First Name *

Last Name *

Age *

City *

State *

Phone Number *

Email *

Occupation *

Who is the person/family you are nominating? *

Where are they located? *

Do you have contact information for them? *

If yes, please include.

Do you know their occupation(s)? If so, please describe. *

If not, put unknown.

Please list everyone who lives in the household's names and ages: *

How do you know the deserving family? If you don’t know them personally, how did you find them? Include any links to their story, if applicable. *

Describe their current house/apartment. Do they own/rent? Is it in good, fair or poor condition? What improvements do you think it needs? *

Is their house in need of organization? Are there areas that are overstuffed, cluttered? *

How would the organization of this space benefit this family? *

Why do you feel they deserve to be nominated? What about them makes them a great fit for Extreme Makeover: Home Edition? *

How do they give back to others? *

How have they changed/impacted their community? *

Have they had to overcome any hardships? If so, please explain. *

Are they still facing these hardships? If so, please explain. *

Please describe what comes to mind when you imagine this family’s dream home (and why?) *

Do you know any others who would support this nomination? If so, please provide as much information as you can about who they are and how we can reach them. *

Please upload 2 to 3 current photos of yourself. Include a photo of you and your nominee together (if you have any) *

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Photo 2

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Photo 3

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Please upload a 2-minute video (optional) to introduce yourself and tell us what makes your nominee so deserving.
Tips to keep in mind when making your video:
· Please place or hold your camera so it is horizontal (wide), not vertical (tall).
· Please sit or stand in an area where the light from a window or lamp hits your face, rather than having it behind you.
· Please turn off any music, TV, air conditioners, or fans.
· Please avoid wearing clothes with brand logos.

Casting Application Release *

By signing into this website and submitting the application to nominate a certain individual, group of individuals or entity (collectively, “Nominees”) to potentially participate on the television program currently entitled “Extreme Makeover: Home Edition” (“Program”), I understand, acknowledge and agree that I am making the following representations, warranties, indemnities and releases as set forth hereinbelow in conjunction with my application to nominate the Nominees to potentially participate on the Program (the application and this Casting Application Release are collectively referred to hereinafter as the “Application”) as an inducement to Lock and Key Productions (“Producer”) to continue to consider the Nominees to potentially participate on the Program. By signing into this website and submitting the Application, I acknowledge, agree to and understand all of the terms, conditions, provisions and obligations set forth hereunder, which is an express condition of Producer considering the Nominees to potentially participate on the Program. Accordingly, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I understand, acknowledge and agree as follows: I agree that Producer may tape and photograph me and record my voice and conversations, including quotes, paraphrases and sounds (collectively, the “Recordings”) for use in and in connection with the Program, and in advertising, merchandising, commercial tie-ins, promotion and publicity for the Program, and all ancillary and subsidiary rights therein, and for the ABC Television Network and any other network or platform authorized to exhibit the Program (collectively, “Network”) and its assignees, licensees and designees, in any and all media now known or hereafter devised, throughout the universe in perpetuity, whether or not I am ultimately selected to participate on the Program. I further acknowledge that I may be required to provide Producer with photographs and/or videotapes of me and/or other materials (the “Submission Materials”) as part of the application process for any or all of the Nominees to be a participant on the Program. If I provide Submission Materials to Producer, I agree that Producer and/or Network and its assignees, licensees and designees may use and license or assign others the right to use the Submission Materials, the Recordings, and my name, voice, likeness and any biographical facts about me (“Likeness”) which may have been provided to Producer, in and in connection with the Program, and in advertising, merchandising, commercial tie-ins, promotion and publicity for the Program, and all ancillary and subsidiary rights therein, in all media now known or hereafter devised, throughout the universe in perpetuity, whether or not I am ultimately selected to participate on the Program. I agree that, at no cost to Producer, I have secured, or will secure all rights for Producer to use any of the Submission Materials as set forth herein. The Recordings are and shall be deemed to be “works-made-for-hire” specially ordered or commissioned by Producer pursuant to the United States Copyright Act. Accordingly, Producer is and shall be considered the author and, at all stages of completion, the sole and exclusive owner of the Recordings and all right, title and interest therein. If any of such Recordings are not deemed “works-made-for-hire,” I hereby irrevocably assign to Producer the entire copyright and all other rights in and to such Recordings (and where any such Recordings are not in existence at the date hereof, by way of present assignment of future copyright), throughout the universe for the full period of copyright and all renewals and extensions thereof, and thereafter for the maximum period permitted by law. I represent and warrant that I have completed any and all documents that form part of the Application honestly and accurately and if any of the information provided by me in connection with my Application is found to be false or incomplete, it will be grounds for removal of the Nominees from the audition/selection process and/or from the Program (if selected). I acknowledge, understand and agree that Producer has no obligation to interview and/or select any of the Nominees to participate on the Program, and that even if the Nominees are selected to participate on the Program, Producer has no obligation to produce the Program and neither Producer nor any third party has any obligation to exhibit the Program, even if produced. All decisions by Producer concerning selection of Program participants are at Producer’s sole discretion. Whether or not any Nominee is ultimately selected to participate on the Program, I shall keep in strictest confidence and shall not disclose to anyone any information or materials of any kind relating to the Program (collectively, the “Confidential Information”), unless and until Producer or Network discloses such Confidential Information (if ever). By signing into this website and submitting the Application, I am granting the rights hereunder and am making the covenants, agreements, waivers, releases and indemnities herein whether or not I am ultimately selected as to be a participant on the Program. I understand that I will not be paid any money for giving Producer and Network these rights or for submitting the Application. I voluntarily accept and assume any and all risk as to any damages or injury, including personal or property damage or injury, occurring directly or indirectly as a result of my participation in any aspect of the application process for the Program, including, but not limited to, the audition/selection process, this Application, or the disclosure or use of any of the Submission Materials provided by me during the audition/selection process. By signing into this website and submitting the Application, I hereby release: (a) Producer, Network, any other licensees or assignees of the Program, the other participants of the Program, all other persons and entities connected with the Program, and each of their respective licensees, successors or assigns and each of their parent, subsidiary, related and affiliated companies, and the past, present and future officers, directors, agents, representatives, employees, successors, assigns and licensees of each of the foregoing, jointly and individually; (b) any and all television stations or channels, cable networks, satellite networks, digital platforms, Internet channels or websites that exhibit the Program, the Submission Materials, and/or my Likeness; (c) the advertisers connected with any program in which the Submission Materials and/or my Likeness appear (including, without limitation, the Program) (all of the foregoing hereinafter collectively referred to as the “Releasees”) from any and all claims, actions, damages, liabilities, losses, costs and expenses of any kind (including, without limitation, attorneys' fees) arising out of, resulting from, or by reason of, my Application for or my participation in or in connection with the Program (if any), the use of the Submission Materials and/or my Likeness, including, without limitation, my participation in the Nominee audition/selection process for the Program, any travel for or in connection with the Program, any exploitation of the Program or my appearance on the Program or in the Submission Materials, the failure by Producer to select any Nominee to participate on the Program, the cancellation of the Program, or the exercise by Producer, Network or any of their respective licensees, successors or assigns of any rights granted by me with respect to the Program or the Submission Materials, and/or my Likeness, on any legal theory whatsoever (including, but not limited to, personal injury, misappropriation, copyright infringement, breach of express or implied contract, rights of privacy and publicity, false light, and defamation) (collectively, the “Released Claims”). By signing into this website and submitting the Application, I am acknowledging that there is a possibility that subsequent to my submission of the Application, I may discover facts or incur or suffer claims which were unknown or unsuspected at the time I submitted the Application, and which if known by me at that time may have materially affected my decision to submit the Application. I hereby acknowledge and agree that by reason of this Application and the release contained in the preceding paragraph, I am assuming any risk of such unknown facts and such unknown and unsuspected claims. I have been advised of the existence of Section 1542 of the California Civil Code, which provides: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE CREDITOR OR RELEASING PARTY DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY. By signing into this website and submitting the Application, I agree to defend, indemnify and hold harmless each of the Releasees from and against any and all claims, actions, damages, liabilities, losses, costs and expenses (including, without limitation, attorneys’ fees) that in any way arise out of or result from: (a) my breach of this Application, including any representations, warranties, or covenants made by me herein; (b) my acts, statement or omissions in and in connection with my Application for or participation on the Program; and (c) use of any of the rights granted by me herein. I understand, acknowledge and agree that Producer may license, assign, and otherwise transfer the Application and all rights granted by me hereunder to any person or entity. The illegality, invalidity or unenforceability of any provision of this Application shall in no way affect the validity or enforceability of any of the remainder of this Application, which shall be enforced to the maximum extent permitted by law. The parties agree that any and all claims, disputes or controversies arising out of or in connection with this Application or otherwise arising out of my application for or participation on the Program that are not otherwise barred or released pursuant to the terms herein shall be resolved exclusively and confidentially by binding arbitration before a single, neutral arbitrator, under the auspices of JAMS using its Streamlined Arbitration Rules and Procedures, through its Los Angeles, California office. I agree that my remedies for any breach of this Application by Producer or others will be limited to monetary damages, if any, and in no event will I be entitled to rescind this Application or the rights granted hereunder, or to seek or obtain injunctive or any other equitable relief. The Application shall be interpreted under the internal, substantive laws of the State of California without regard to the conflicts of law provisions thereof. To the extent that the arbitration provisions of this Application is not enforced or court proceedings are otherwise required, commenced or maintained, the parties submit to the in personam jurisdiction of the Los Angeles County Superior Courts and the United States District Court for the Central District of California, and waive any objections that they may have as to jurisdiction or venue in any such courts. By signing into this website and submitting the Application, I hereby acknowledge that I have read, understand, and agree to be bound by all of the terms and conditions of the foregoing and that all information provided in the Application are true and complete. I have read, understand, and agree with the foregoing. I UNDERSTAND THAT I AM GIVING UP CERTAIN LEGAL RIGHTS UNDER MY APPLICATION, INCLUDING, WITHOUT LIMITATION, MY RIGHT TO FILE A LAWSUIT IN COURT WITH RESPECT TO ANY CLAIM ARISING IN CONNECTION WITH MY APPLICATION.

How did you hear about this casting? *

Thank you for the nomination!