Affiliate Application

Affiliate Application

Complete this form to share a bit about you and your community, then we’ll review for next steps. Next steps include a virtual meeting to discuss our core values.
Basic Information
Legal Full Name

First NameMiddle NameLast Name
Preferred Name
Email
example@example.com
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Full Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Time Zone
Preferred Contact Method
Social Media & Community
Primary platform

Other
TikTok handle or profile URL
Instagram handle or profile URL
Facebook page or group URL
YouTube or website URL
Approximate follower count on your active platform(s)
Describe your audience or community, including age range, interests, and the topics you cover
Content topics

Other
Do you have prior affiliate or brand partnership experience?
If yes, briefly describe your experience and any current or recent telehealth or wellness affiliations
Are you currently under any agreement that could conflict with this application?
If yes or unsure, please explain any potential conflicts
Applicants are responsible for reviewing and honoring their own agreements.
Your Story & Fit
Why do you want to join It’s Your August?
Tell us about any personal connection to weight management, GLP-1 care, hormone health, perimenopause/menopause, PCOS, men’s wellness, or healthy lifestyle topics
Private medical details are not required.
What does genuine community mean to you?
Which content styles and trust-building approaches best fit your voice?

Other
What support would help you succeed in this role?
How did you hear about us?
Were you referred by someone?
Referrer’s name
Program Expectations
I understand this is an independent affiliate opportunity and not employment
I understand there are no guaranteed earnings, quotas, or required live videos
I agree to be honest and not make misleading medical or income claims, and to follow FTC disclosure requirements and all program guidelines
I agree not to diagnose, prescribe, promise results, or provide medical advice
I agree to protect patient and customer privacy and not collect or share private health information outside approved systems
I understand approval is not automatic and additional information may be requested
I confirm the information I provided is accurate
Availability & Next Steps
When are you ready to begin?
Are you willing to complete orientation and compliance training before sharing a link?
Do you have a PayPal account or are you willing to create one for payouts?
Acknowledgment
Anything else you'd like to share?
Consent & Signature
Consent to be contacted by email or text about this application
Typed legal name

First NameMiddle NameLast Name
Electronic signature
Date signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Affiliate Application

Basic Information

Social Media & Community

Your Story & Fit

Program Expectations

Availability & Next Steps

Consent & Signature