Brand Ambassador Intake Form

Brand Ambassador Program Intake Form
Brand Name
Primary Contact Person
Position/ Title
Email
example@example.com
Phone Number
Business Address
Website/ Social Media Links
1. What are the main goals of your brand ambassador program? (Check all that apply)

Increase brand awarenessDrive product salesExpand social mediaEngage with local communitiesProduct advocacy/ reviewsOther
2. What type of ambassadors are you looking to recruit?

Social media influencersExisting customersIndustry expertsLocal community leaadersOther
3. What is your preferred compensation model for ambassadors?

Commision-based (percentage of sales)Free product or merchandiseCash compensationDiscount codes or special offersRecognition or reward systemOther
4. What channels will ambassadors use to promote the brand

InstagramFacebookTik TokYouTubeIn-person eventsOther
5. In-person events (Please specify):What is the desired start date for the brand ambassador program?- Are there any important milestones or deadlines?
6. What is your budget for consulting services?

> $1,000$1,000- $5,000$5,000- $10,000
7. Support Required (Check all that apply)

Program design and structureRecruitment and selection of ambassadorsAmbassador training and onboardibgIncentives and rewards designPerformance tracking and reportingOngoing management and supportOther
8. Legal/ Contract Details- Contract Start Date
Legal/ Contract Details - Contract End Date (If applicable)
9. Legal/ Contract Details (Preferred Payment Terms)

Monthly RetainerPer Project BasisHourly RateOther
10. Cancellation/ Termination Terms- Does the client require specific cancellation or termination Terms-?

YesNo
If yes please specify
Additional Information:
11. Are there any unique aspects of your brand or program that you would like to highlight
12. Do you have any specific concerns or challenges regarding the program
Contract Start Date

MonthDayYear
Date
Contract End Date if applicable

MonthDayYear
Date
Consultant Name
Signature

Clear
Date

MonthDayYear
Date
Client Name
Date

MonthDayYear
Date
This intake form ensures that you gather all necessary information from the client upfront, setting clear expectations and guiding the development of the ambassador program.
Should be Empty:

Brand Ambassador Program Intake Form