EmailMe Form - Content Creators/Influencers Application

Personal Information

Content Creator/Influencer Name *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Email *

Are you eligible to work in the United States? *

Yes

No

Gender *

Female

Male

Age *

Birthdate *

MM / DD / YYYY

Parent Name (IF under age of 18)

Ethnicity *

Shirt Size *

Pant/Jean Size *

Shoe Size *

Please upload 1 headshot photo. Photo must clearly SHOW YOUR FACE and have no other people included in the image and can be a snapshot. Professional photos are NOT required. PLEASE - NO SNAPCHAT OR OTHER FILTERS FOR PHOTOS. *

Facebook Name:

Instagram Handle: *

TikTok Handle:

How many followers do you currently have on Instagram? (REMINDER: THIS IS AN APPLICATION ONLY FOR INFLUENCERS/CONTENT CREATORS AND NOT MODELS/ACTORS) *

How many followers do you currently have on TikTok? *