Monat Influencer Application

What is your name?*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
What is your Instagram handle?*
Are you 18 + ? (Must be 18 years or older to apply)*

YesNo
What country do you live in?*

USAUKCanadaIrelandPoland
Are you currently working or in school?*

WorkingSchoolBothNeither
Why are you interested in this opportunity?*

Financial FreedomFree TripsGetting Paid 5x a MonthAbility to work from anywhereHealthy HairSocial Media TrainingPersonal developmentFree CarOther
How much would you like to invest into starting your own business?*

$200$350$600$800
What are your monthly income goals*

$200-$1,000$1,000-$2,500$2,500-$5,000$5,000-$10,000$10,000+
How would you like me to contact you?*

TextCallFacetimeInstagram Direct MessageCoffee Date
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