INFLUENCER PARTNERSHIP

General information

* required

Influencer’s First and Last Name *

Agent/reps First and Last Name

Influencer’s City/State *

Format: Seattle, WA

Talent’s Job Title and Role *

Influencer’s Age *

Influencer's Birth Date *

Race / Ethnicity *

Email *

Phone

Format: XXX-XXX-XXXX

Influencer’s Shipping Address *

Your social / web information

Instagram handle

# of Instagram followers

Twitter handle

# of Twitter followers

Facebook handle

# of Facebook followers

Youtube handle

# of Youtube followers

TikTok handle

# of TikTok followers

Twitch handle

# of Twitch followers

Website address

Website traffic (#users/month)

More about you

Tell us what makes you an overachiever in your field and what’s unique about your personal story?

Why do you want to specifically partner with Essentia? What do you love about the brand and our product?

What do you do to really connect with people and your followers on social media?

If Essentia were to select you to participate in the program, what other opportunities (beyond social media) could you propose to promote Essentia?

Have you promoted another water or beverage brand? If so, which brand(s) and when?

Do you officially work with or represent other brands in other categories (i.e. brand ambassadorship, collaborations/sponsorships, etc.)? If so, please list them and the nature of the partnership.

Are you affiliated with any charities or National/Local organizations? If so, please list them.

Is there any additional information you want us to know about you?

Please let us know you're not a bot by entering any two digits. *

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