PARTICIPATE IN GAMES RESEARCH
THIS IS NOT A JOB OPENING OR JOB APPLICATION. FOR JOB POSTINGS VISIT: EA JOBS AT TIBURON

Print out this form, complete it and send it to the following address to be added to the playtester participant database:

    Electronic Arts Tiburon Studio
    Playtest Program
    1950 Summit Park Drive  
    Orlando, FL 32810

Your responses are private and will not be shared with third parties.

About You

required fields are marked with an asterisk *

First Name  ____________________________ *
Last Name ____________________________ *
Email ____________________________  *
Day phone  ____________________________ *
Evening phone  ____________________________
Other phone ____________________________
Date of Birth ______ / ______ / ____________ *
(month /  date   /   year)
Gender    (Circle One)    Male  /   Female   *
Address Line 1  _____________________________________________________ *
Address Line 2  _____________________________________________________
City  ____________________________ *
State  _____________ *
Postal Code  _____________ *
Birth City  _____________________________________
Birth Country  ______________________________________




Games You Play

What are your favorite games of all-time? *

 1) _____________________________________________________________________________________
 2) _____________________________________________________________________________________
 3) _____________________________________________________________________________________

What are your favorite games in the last year? *

 1) __________________________________________________________________________________
 2) __________________________________________________________________________________
 3) __________________________________________________________________________________

In your estimation, how many hours do you play games per week?  ___________________ *

Check all the types of games you enjoy playing: *

 Role Playing  Flight
 Driving  Simulation
 Golf  Strategy
 Football  Shooting
 Basketball  Platform
 Baseball  Massively Multiplayer Online
 Hockey  Puzzle or word games
 Soccer  Card games
 Skateboarding, Snowboarding or other   Extreme sports  Casino games
 Fighting  Board games
Action Adventure  Other _________________________________

Check all the platforms on which you play games: *

PC or Macintosh Nintendo GameCube
Internet website Nintendo 64
Sony PlayStation 2 Nintendo NES
Sony PlayStation Nintendo Game Boy
Microsoft Xbox Nintendo DS
Microsoft Xbox 360 Sony PSP
Sega Dreamcast
 

What type of TV do you use when playing console games? *

Regular (non-HDTV) TV HDTV
 

Describe your ONLINE gaming experiences (ones requireing an internet connection): *

I play PC games that come with free online play I play console games online with the Sony PlayStation 2
I play PC games that require me to pay a subscription fee for online play I play console games online with Microsoft Xbox Live
I play games on free Internet websites I play console games online with the Nintendo GameCube
I pay for a subscription to games over the Internet Other ________________________________
I pay for a subscription to games on my mobile phone I don't play any games online

From where do you play online games?

Home Friend's house
Work LAN gaming center
School Other ________________________________

What Internet connection speed do you use for gaming?

Broadband (Cable, DSL, Satellite, T1 or faster connection)    Dial-up
Other _________________________    

How did you first find out about this opportunity? *

Found browsing the Internet Link on a gaming web site
From another playtest participant Link on EA.com
From a friend or relative EB, Gamestop, or other retail store
From an EA employee ______________________________ At a local event where EA had a presence
Employee at EB, Gamestop or other retail store ____________________ Other _______________________________

Signature of parent / Guardian: ________________________________________________ *

Name of parent / Guardian:  ___________________________________________________ *

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