First Name *
Last Name *
Age (DOB) *
Email *
Telephone number *
City *
State *
Social Media Links (PLEASE PROVIDE LINKS - Instagram, Facebook, Twitter, TikTok, etc.)
Are you currently in a relationship with an inmate? (Dating, engaged, married)
How long have you been in a relationship with them?
How did you meet?
Have you spent any time with them on the outside? If so how much time? *
Have either of you ever been married before and do either of you have any children?
What is your significant other's first and last name?
Where are they currently incarcerated? (please provide state and facility name)
What is their inmate number? (DOC or BOP)
What are they incarcerated for? (Charges)
How long have they been incarcerated for?
When are they expected to be released?
Will they be living with you or a family member once they are released? *
What are you most excited about for when they are released?
Please upload a photo of yourself *
Please upload a photo of your significant other *
You can upload an optional 30-60 second intro video if you'd like!
BEFORE MOVING FORWARD WITH ANY PERSON ON THE SHOW, WE ASK EACH CAST MEMBER TO SUBMIT A BACKGROUND CHECK. IS THERE ANYTHING YOU WOULD LIKE TO DISCLOSE ABOUT YOUR PAST BEFORE MOVING FORWARD? *
Have you ever done or been involved in anything that would reflect negatively on you or on the Program, the Program Producers and/or the television network and stations that broadcast the Program if you are chosen to participate in the Program? *
If you answered YES to the previous question, please explain in detail, including, without limitation, date(s), place(s), person(s) involved and their relationship to you, context, setting, publicity (if any) and the exact nature of the incident(s). If you answered NO, simply write N/A. *
Please list any family & friends that may appear on the show with you. *List full names and relationship to you: *
Is there anything they would like to disclose about their past before moving forward? *
Have you ever created a website or posted any materials on any website or social media accounts? *
If you answered YES to the previous question, describe the website(s) you created and/or the type of materials you posted including anything that may be controversial or offensive. If you answered NO, please write N/A. *
Casting Release Love After Lockup *
I have read, understand, and agree with the foregoing. I UNDERSTAND THAT I AM GIVING UP CERTAIN LEGAL RIGHTS UNDER THIS APPLICATION, INCLUDING, WITHOUT LIMITATION, MY RIGHT TO FILE A LAWSUIT IN COURT WITH RESPECT TO ANY CLAIM ARISING IN CONNECTION WITH THIS APPLICATION. *