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
Increase brand awarenessDrive product salesExpand social mediaEngage with local communitiesProduct advocacy/ reviewsOther
Social media influencersExisting customersIndustry expertsLocal community leaadersOther
Commision-based (percentage of sales)Free product or merchandiseCash compensationDiscount codes or special offersRecognition or reward systemOther
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?
> $1,000$1,000- $5,000$5,000- $10,000
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)
Monthly RetainerPer Project BasisHourly RateOther
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