FIVE GOLD RINGS APPLICATION FORM
Thank you for applying for a coveted “golden ticket” to the studio recording of Five Gold
Rings, a fabulous Christmas Entertainment gameshow, featuring Stephen Nolan as master
of ceremonies.
For your application to be considered, you must be able to attend the recording in Belfast
on the evening of Monday 22nd December 2014. Every lucky ticket holder can bring one
guest, and stands the chance of being selected to take part in one of our fun studio
games. The winner in each round goes forward to an exciting end game and the chance
to win a fantastic prize.
Please only complete the application if you’re aged 18 or over and can make your own
way to the BBC
Blackstaff Studios, 62-64 Great Victoria Street, Belfast, BT2 7BB for
6.30pm on Monday 22nd December 2014.
support for applicants with disabilities.
Reasonable efforts will be made to provide
Please state any such requirements on the
application form.
Write as much as you can for each answer – the more you tell us, the more we get to know
you and the greater the chance of you being chosen. If you need more space for your
responses, feel free to add at the end of your application.
And finally, please try to attach or scan some photos because it really helps us to build a
full picture of you.
Once you’ve completed the form, please e-mail it as a Word attachment (or scanned) to
[email protected] no later than Sunday 7thDecember 2014. Applications after this date
cannot be considered.
Thanks very much for applying and good luck!
Five Gold Rings Production Team
Basic Information
Full Name
Name You’re Usually
Known By/Nickname
Date of Birth
Occupation
Full Address (including
postcode)
Contact Telephone
Landline:
Numbers
Mobile:
Email Address
All About You
What 5 words would you use
to describe yourself?
What 5 words do you think
your friends would use – or
have used - to describe you?
How Competitive Are You?
(Please give examples)
What Are Your Hobbies Or
Interests?
Do You Belong To Any Clubs
or Associations?
How Important Is Christmas
To You and Why?
What Is Your Favourite Thing
About Christmas?
What Is Your Least Favourite
Thing About Christmas?
What’s The Best Christmas
Present You’ve Ever
Received?
What Is The Most Memorable
Thing You Have Ever Done
For Someone?
Eg: You cancelled the
holiday of a lifetime to look
after your poorly granny or
stood in as Santa for a kids
party.
What Is The Naughtiest
Thing You Have Ever Done
To Someone?
Eg: You ordered food from a
restaurant and passed it off
as your own or bought your
partner a ring from the
market and repackaged it to
look more expensive?
Do You Have Any Special
Talents or Party Tricks?
Eg: Can you do a first class
impression of someone
famous or play Merry
Christmas Everyone, on the
spoons!
Do You Have Any Pet Hates?
Do You Have Any
Embarrassing/Funny Habits?
Which famous person would
you most like to have
Christmas dinner with?
Which famous person would
you most like to kiss under
the mistletoe?
Which famous person would
you most like to meet?
Do You Have Any Phobias or
Allergies? (Some of our
studio games may involve
food)
Why Do You Think You
Should Be Allocated A
Golden Ticket to “Five Gold
Rings”?
Is There Anyone You Would
Like To Embarrass On The
Show?
Have you appeared in a TV
gameshow before?
If so, please list programme
and details of any prizes
won.
Do you have a Facebook or
Twitter account? (If yes,
please give your name as
featured on the site)
Do you have any online
footage of yourself/You
Tube videos? (If so, please
give details or links so that
we may view.)
Your Companion
Name of the person you
would bring with you and
why?
What is your relationship to
this person?
How long have you known
each other?
What is the best thing about
this person?
What is the worst/most
annoying thing about this
person?
How much would you trust
their help in a competition?
What would be their ideal
Christmas present?
Is there anything else you’d like us to know?
If there’s anything else you feel would help your application, eg about party games or
Christmas, please tell us here.
Important Information
CRIMINAL RECORD
Do you have any criminal convictions (including motoring convictions) or do you have any court cases pending? If so, please give as
much detail as possible below. (This will not necessarily preclude you from entering the Programme but Production reserve the right
to base their decision on all applicant information)
Please type your name and the date here to
certify that all of the above information is
correct.
DATA PROTECTION NOTICE - Please take a moment to read the following carefully.
Use of data
Unless you have indicated otherwise, the BBC will only use your details in connection with Five Gold Rings (to
identify audience members and contributors) and associated material. The BBC will not transfer your details
to any third party without contacting you first. Please visit the BBC's Privacy & Cookies Policy
(www.bbc.co.uk/privacy) for more information.
Please note, the BBC receives a high number of applications for its shows and we cannot invite everybody
who applies, to participate. Therefore we will only contact you if your application is successful. If you are not
selected to appear on this show, and you have indicated that you do not wish for us to retain your details,
the BBC will securely destroy your personal information and we will not use it for any other purpose.
How we will store your data
The information provided will be held on a BBC database until 31st January 2015 and will be kept securely
and in accordance with the Data Protection Act 1998 and other applicable privacy legislation. After this date,
it will be securely deleted.
Third party access to your data
The information provided will not be passed to any third parties without your prior permission.
Photographs
Please insert some photographs of your family here – from your software’s menu, select
Insert > Photo. You can then resize the image accordingly to fit photos on the page.
Five Gold Rings Application Rules
1.
You must be aged 18 or above on 22nd December 2014.
2.
You must be resident of the UK (including Isle of Man and Channel Islands).
3.
You must not be or be closely related to a member of the BBC or anyone connected with the
programme.
4.
You cannot have been convicted of any serious crime. Details of unspent convictions should also be
listed on the application form.
5.
You warrant that all information you supply as part of this application is accurate and you have been,
and will be at all times, truthful and honest. If you are chosen to participate in the Programme, you
agree to authorise the production team to conduct background checks in order to verify any of the
information you have supplied and you agree to provide them with any assistance or further
information necessary to do this.
6.
Your participation in, and compliance with, the application process does not in any way constitute an
agreement with the BBC for you to appear on the programme. The BBC has no obligation to produce
the programme and, even if the programme is produced, there will be no obligation on the BBC or any
other party to broadcast or transmit or otherwise exploit the programme or include you or any filming in
the programme.
7.
We are aiming to fill our studio with people who will enter into the spirit of Christmas and are genuinely
keen to take part in some festive fun. When selecting applicants for Five Gold Rings, the following will
be taken into account:- unusual stories that are entertaining and enlightening - lively characters who
are comfortable being filmed - where relevant, people who bring skills that could be beneficial to our
gameplay. Selection will be based on the application forms and telephone interviews with selected
applicants.
8.
By submitting your application form, you agree, if you are selected to take part in the programme, to
sign a contributor consent form granting the BBC all necessary rights and consents for the full period of
copyright (and afterwards so far as possible in perpetuity) to copy edit and/or use at their sole
discretion the product of your contribution to the programme for any purposes connected with the
programme, the promotion and advertising thereof and all other rights (including all allied and ancillary
rights) in the programme by any means and in any and all media now known or hereafter invented
throughout the world in perpetuity.
9.
Application forms will be retained by the production team of Five Gold Rings but the BBC will use your
personal details only for the purposes of considering your application for this programme. Your
personal information will not be passed to anyone else except where we are obliged to do so or unless
otherwise authorised by you. The information will be kept securely and in accordance with the Data
Protection Act 1998 and other applicable legislation.
10.
The TV production team’s decision regarding selection for the programme is entirely at its discretion
and cannot be appealed. We reserve the right at any time and for any reason to change our selection
and/or to choose a replacement applicant to participate in the programme.
11.
The deadline for applications is midnight on Sunday the 7th December 2014. If you have not heard from
a member of the team by phone or email by 17th December 2014, unfortunately your application has
been unsuccessful this time around.
12.
I have read and understood these Rules of Entry and by submitting this Application Form I warrant that
I am eligible to participate in the programme.
Signature:
_______________________________________________________
Print Name: _______________________________________________________