Partnership Application

1

What is your name?* This field is required.

First Name

Last Name

2

How would you describe yourself?

3

Phone Number* This field is required.

Area Code

Phone Number

4

Email* This field is required.

example@example.com

6

Instagram handle?* This field is required.example: @alainayard

7

Youtube channel?* This field is required.example: @alainayard

8

TikTok username?* This field is required.example: @alainayard

9

Blog URL?* This field is required.example: @alainayard

10

Twitter handle?* This field is required.example: @alainayard

11

Facebook username?* This field is required.example: @alainayard

12

Pinterest username?* This field is required.example: @alainayard

13

Snapchat username?* This field is required.example: @alainayard

14

Twitch username?* This field is required.example: @alainayard

15

Linkedin URL?* This field is required.example: @alainayard

16

Are you 18+ or 21+ ?* This field is required.Must be 18 years or older to apply

I'm 18+

I'm 21+

17

What country do you live in?

18

City and state?

20

Why are you interested in this opportunity?select all that apply

Perks

Additional Income

21

How did you hear about this program* This field is required.

Social Media

A Friend or Coworker

Google

Someone Contacted Me

Other

22

Who referred you?

23

How would you like us to contact you?* This field is required.

Text

Call

Instagram Direct Message

24

Do you have a Media Kit?* This field is required.

Yes, I have one.

No, I need one.

25

Upload Media KitPlease upload your media kit here

Drag and drop files here

Select files to upload

Max. file size: 10.6MB