Space Tourism Candidate Pre-Selection Application

Space Tourism Candidate Pre-Selection Application — Form Fields

This applications template includes 10 fields. Apply for consideration in a commercial space tourism experience pre-screening process. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email (email, required)
• Phone Number (text, required)
• Age Range (dropdown selection, required) — options: 18-25, 26-35, 36-45, 46-55, 56-65, 66+
• Occupation and Industry (text, required)
• Physical Fitness Level (dropdown selection, required) — options: Sedentary, Moderate, Active, Athletic/Elite
• Have You Undergone Medical Clearance for Strenuous Activity? (multiple choice, required) — options: Yes, No
• Why Do You Want to Travel to Space? (long text, required)
• Estimated Personal Net Worth Range (for financial vetting) (number, optional)
• Previous Relevant Experiences (checkboxes, optional) — options: Pilot's License, Scuba Diving, Skydiving, Military Service, Scientific Research