Expert influencer application form.

Thank you for your interest in registering with Social Expert. We are excited to represent you for collaborations with brands.

Please fill out all the information in the form below and we will be in touch with any opportunities for you soon!

We look forward to reading all about you!

Name*

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Contact Email*

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Contact number*

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Instagram handle*

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Instagram followers*

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Area of healthcare expertise*

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Professional qualifications and experience

About me: (Approx 50 words about you, your account, what expert advice and guidance you can offer, think about how your experience might be beneficial to brands, sell yourself!)*

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Do you accept gifted collaborations? (y/n) please indicate minimum value.

Please list any brands you have previously worked with

Please list any other agencies you are currently working with

I confirm that I will send an appropriate photo to accompany my application to hello@social-mama.co.uk.

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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* Indicates required fields

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Thank You! Please email your profile photo to hello@social-mama.co.uk along with your name and Insta handle, alternatively you can What's App your chosen photo and name to 07429 154315. Once received we will process your profile and be in touch!