SVA Talent Inquiry Form: Join the Team
Personal Information
Full Name:
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Email Address:
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example@example.com
Location (City/State):
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Phone number
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Format: (000) 000-0000.
Primary Platform:
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Instagram
TikTok
YouTube
LinkedIn
Facebook
Social Handle: @
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Audience size: IG, Tik Tok, Youtube, Facebook, Linked In
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Your Lived Experience
Advocacy Pillar
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Oncology (Cancer Survivor/Thriver)
Chronic Illness Advocate
Caregiver/Healthcare Professional
Specific Diagnosis or Specialty: (e.g., Triple Negative Breast Cancer, Type 1 Diabetes, Lupus)
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The Story: In 2-3 sentences, how do you use your lived experience to educate or inspire your digital community?
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Professional Experience
Brand History: Have you collaborated with consumer brands or pharmaceutical companies before? If so, please list 1-2 recent partners.
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Public Speaking: Are you interested in speaking engagements, panels, or keynote opportunities?
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Yes
No
Current Representation: Are you currently signed with another talent manager or agency?
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Yes
No
Agency:
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Media Kit: Please provide a link or upload your media kit or portfolio (if available). Insert N/A if not
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File Upload
Browse Files
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Choose a file
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Privacy & Safety
Boundaries: Are there specific topics or "triggers" you choose not to discuss publicly?
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Commitment: If accepted, are you willing to adhere to the SVA Patient Advocate Code of Conduct regarding medical-legal compliance and ethical storytelling?
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Yes
No
Submit
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