2 Moms Media Influencer Program Application
Do you want to join our network of influencers and learn about our opportunities? Sign up and we will keep you posted on our programs in the opportunities we have in Chicago and beyond! Questionnaire will take under 10 minutes to complete.
What is your blog, organization or group's name?
Your answer
Link to blog, organization or group website
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What are your monthly blog page views?
How many members or fans do you have in/ of your organization or group?
In one sentence, please describe your blog or organization's focus
Your answer
What topics interests you most in working with one of our client partners?
What is your Instagram handle?
Your answer
# of Instagram followers
Your answer
What is your Facebook page?
Your answer
# of Facebook followers
Your answer
What is your Twitter handle?
Your answer
# of Twitter followers
Your answer
What is your Pinterest account?
Your answer
# of Pinterest followers
Your answer
What is your Snapchat name?
Your answer
# of Snapchat followers
Your answer
What other platforms or groups are you active in (i.e. moms groups, PTO, community groups) and what are the names of those groups?
Your answer
First and last name *
Your answer
Email *
Your answer
City and state *
Your answer
How many kids do you have?
Your answer
What are their ages?
Your answer
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