Brand Ambassador Application

Welcome! We're thrilled you're interested in representing Couture Scrubs & Co., the home of luxury, style, and functionality for healthcare professionals. Join our mission to elevate scrubs and showcase confidence and professionalism in every step. Please complete the application below.

Full Name

Email Address

example@example.com

Phone Number

Format: (000) 000-0000.

City & State

Social Media Handles

Facebook/IG/TikTok/Youtube

Are you a healthcare professional?

If yes what is your profession RN LPN CNA etc

How many years have you worked in healthcare?

Current Workplace or Organization ( optional)

Engagement Rate if known

Have you worked with other brands before?

If yes which ones

Why do you want to be a Couture Scrubs Co Brand Ambassador

What does luxury mean to you as a healthcare professional

How do you inspire others in your profession

How do you plan to promote Couture Scrubs Co

Are you comfortable creating content that includes photos, videos, and reviews of Couture Scrubs & Co. products?

Are you willing to meet content deadlines and actively engage with our social media pages?

Preferred Scrub Size

Top Style

Bottom Style

By applying, you agree to represent Couture Scrubs & Co. with professionalism and integrity. You also agree to receive communication via email or text regarding your application and future ambassador program updates. Thank you for your interest in becoming a Couture Scrubs & Co. Brand Ambassador! We'll review your application and be in touch soon.

Submit Your Application [Submit Button or Email Address for Submission]