AGP Creator Registration
To apply, please complete all questions.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: +1 (000) 000-0000.
Age Range
Please Select
18-24
25-34
35-44
45-54
55-64
65+
Are you a member of a D9 organization?
Yes
No
What D9 org are you a member of ?
Please Select
Alpha Phi Alpha
Alpha Kappa Alpha
Kappa Alpha Psi
Omega Psi Phi
Delta Sigma Theta
Phi Beta Sigma
Zeta Phi Beta
Sigma Gamma Rho
Iota Phi Theta
Non D9 Greek
Non Greek
Are you an undergraduate or graduated?
Still in college
Graduated
What college/ university are you currently enrolled in?
Type of Creator
Please Select
Content Creator
Influencer
Streamer
Blogger
Podcaster
Photographer
Videographer
Other
TikTok Name
*
TikTok follower count
*
Instagram Name
*
Instagram follower count
*
Snapchat Name
*
Snapchat follower count
*
Website URL
Social Media Pages
Are you interested in being an affiliate to earn commission?
*
Yes
No
Have you been a creator or influencer for any other picnic or festival?
*
Yes
No
If yes, what's the full name of the event?
*
*
I acknowledge that this is just a registration form and I will be contacted if chosen or not chosen as an AGP influencer.
Signature
Signature Date
-
Month
-
Day
Year
Date
Save
Submit
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