Creator Application
Name
First Name
Last Name
Email
example@example.com
Instagram Handle
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
I am applying for:
Brand Ambassador
Talent
Pro
Unsure
Category (Choose the best one that describes you)
Social Media/Influencer
Writer/Blogger
Keynote Speaker
Model/actor
Author
Artist
Entrepreneur
How many followers do you have?
Under 5K
5k - 15k
35k - 100k
100k-250k
Over 250k
Which Social Media Platforms do you use? (Choose all that apply)
Instagram
Facebook
Twitter
TikTok
Clubhouse
LinkedIn
YouTube
When were you born? (month/day/year)
Gender
Male
Female
Gender Non-Binary
Gender Non-Conforming
Transgender
Other
Describe your content. (Choose all that apply)
Art & Design
Fashion/Style
Lifestyle
Photography
Travel
Fitness and Health
Technology/Business
Hair
Wellness/Mindfulness
Home Decor & DIY
Make-up
Food & Cooking
Music & Art
Please provide a list of all media references and awards
Please provide a professional photo
What are your goals as a creator? (ex. To obtain paid contract, media exposure, etc.)
I hereby certify that the information contained in this application is true, complete, and correct to the best of my knowledge and belief.
Please provide a detailed list of all brands, marketers and company you have collaborated or worked with in the past five (5) years.
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