The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

SuperLearner Academy Affiliate Application
To apply to become an affiliate, please submit this form.
First & Last Name
Your answer
Company Name
Your answer
I am set up to do business as a...
Contact Email
Your answer
PayPal Email
Your answer
Phone
Your answer
Website(s)
Your answer
Where will you be promoting our online courses?
Your answer
Combined Monthly Unique Visitors
Mailing List Subscribers
Combined Social Media Followers
Please share the URL of your most popular social media account(s).
Your answer
If you work with other affiliate programs, please share any statistics or references.
Your answer
I have created an account at http://www.becomeasuperlearner.com/users/sign_up using the contact email above
Required
I have read and agree to the affiliate terms and conditions as stated on http://www.becomeasuperlearner.com/pages/affiliates
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms