Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which aspect of the brand ambassador program is most appealing to you? (check all that apply) *

Photo shoots

Event Appearances

Social Media/Blogging

Networking/Resume Building

Expanding the brand

Do you give us permission to check out your social media accounts? *

We recommend that you don’t mix business and personal. This account should be a professional account.

Yes

No

I acknowledge *

I acknowledge that my intended social media account(s) abide by the rules of professional social media etiquette. I understand that engaging in the following: Inappropriate photographs, videos, drinking/using drugs, discriminatory comments, bad-mouthing a previous company or fellow employee, and poor communication skills can be harmful to the organization and result in termination of my responsibilities as a brand ambassador.

I Acknowledge