Redefining Wellness Ambassador Application

Become a Redefining Wellness Ambassador!

Please fill out the form below & we will be in touch. Any questions? Email Emily at emilyc@balancedtx.com
Full Name*

First NameLast Name
E-mail*

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How did you find out about Redefining Wellness?*

Please enter your social links below

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Instagram
Twitter
Facebook Page
YouTube Channel
Website

Written Content

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Blog
Links to Previous Written Work

All about you!
What is your name and what do you do? *
What does it mean to you to Redefine Wellness?*
Why are you passionate about spreading the message of 'Redefining Wellness?'*
If there was one thing you wish everyone knew about 'Diet Culture', what would it be and why?*
How do you live out or spread the message of 'Redefining Wellness' on a daily basis in your life?*
What are 2-3 topics you'd like to write on as an Ambassador?*

Additional Information
Please submit a bio here*
Please upload a photo *

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Agreement
Should you be offered an Ambassador position, do you agree you'd be able to fulfill all duties including:
- Submitting at a minimum one blog post per month
- Responding to any other requests and inquiries from the BALANCE/Redefining Wellness team promptly
- Notifying BALANCE/Redefining Wellness team should your availability to participate change at any point
Yes
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