Apply to be an Active Influencer

Apply to be an Active Influencer

Use this form to apply to the InfluencerActive platform.
Application Date / Time

Day Month Year
Date
Hour Minutes
Send to email
ID
Preferred Social Media Platform *

Instagram LinkedIn LinkedIn&Insta Other
Number of Social Media Followers *
First Name *
This should match your social profile
Last Name *
Email *
Your email is required for InfluencerActive to send your activation code if your application is approved
Contact Phone Number (never shared) *
Please include country code
Your Linkedin Profile URL *
We do not connect to your profile in any way - this is for review purposes only
Your Instagram Profile URL *
We do not connect to your profile in any way - this is for review purposes only
Social Media Profile URL *
We do not connect to your profile in any way - this is for review purposes only
At this stage we are only accepting applications if you have greater that 30,000 followers.
Would you like to go onto the InfluencerActive Wait List? *

Yes No
How many Social Media followers do you have currently? *
Industry / Expertise - maximum 3 *

advertising / marketing coaching / wellbeing consulting education finance / banking food & beverage general management government health / fitness hospital / medical human resources innovation / technology insurance leadership / c-suite oil / energy real estate retail supply chain telecommunications Other
Would you like to include links to example posts with great engagement (to help us better assess your application)? *

Yes No
Example post 1 *
Link to post
Example post 2
Link to post
Example post 3
Link to post
What would you like to do with the fee for service? *

Bank it Donate it
Who will you be donating the fee to? *
By selecting Donate it, we will add the following line of text to your profile.

I have selected to donate the booking fee in total to {whoWill}
I agree to the terms and conditions of InfluencerActive. I understand that InfluencerActive takes a fee for processing and management. *

Agree
Were you referred to the platform by a current member?

Yes No
Please tell us who they are so we can say thank you...
Completing this form does not mean you have be approved to join. Applications generally take up to 2 business days to be assessed, however, during busy periods it may take longer. Once approved you will receive an email with a link to complete your appplication and profile on InfluencerActive. Full terms and conditions can be found here.
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