Influencer Application Name * First Name Last Name Email * Birthday * MM DD YYYY Gender Male Female My gender is not represented in this list Location Marital Status Married Engaged In a Relationship Single Widowed Other Do you have kids? Yes No Instagram Username TikTok Username Twitter Username Facebook Page Youtube Page On average, how much do you charge for sponsored posts on you primary channel? List Answer in USD Additional Information Anything else we should know? Feel free to provide additional information about yourself or a short bio. Brands you’ve worked with? Brands you’d like to work with? How did you hear about SciFluence? Thank you!
