YouTuber Campaign Application Form (TEMPLATE)
Thanks for your interest in our YouTube campaign for XXX.

For more information on the products available in this campaign, check the links below or look at the Campaign Alert email you received.

[LINKS]

If you're requesting compensation for this campaign, please provide as much info as possible in the appropriate places in the form.

Please note, filling out this form does not guarantee you will be selected for this campaign, but we promise to let you know either way. If you have any questions, please email barry@techfluence.us.

Thanks again for allowing us to send you these opportunities.
Sign in to Google to save your progress. Learn more
Email *
1. Please provide your first and last name. *
2. Please provide your YouTube channel name below. Please do not input a link here.
YOU CAN SKIP THIS QUESTION IF YOU HAVE PREVIOUSLY FILLED OUT THIS FORM FOR A DIFFERENT TECHFLUENCE CAMPAIGN AND THE INFO HAS NOT CHANGED.
3. Please provide a link to your YouTube channel.
YOU CAN SKIP THIS QUESTION IF YOU HAVE PREVIOUSLY FILLED OUT THIS FORM FOR A DIFFERENT TECHFLUENCE CAMPAIGN AND THE INFO HAS NOT CHANGED.
4. Please select the types of content you are potentially able to produce for this campaign. (Optional - Check All That Apply)
5. Use the space below to provide more details about the type of video you envision for this campaign. (Optional)
6. Will you be promoting your content on social media?
Clear selection
7. Please provide LINKS to your social profiles below (Facebook, Instagram, Twitter).
YOU CAN SKIP THIS QUESTION IF YOU HAVE PREVIOUSLY FILLED OUT THIS FORM FOR A DIFFERENT TECHFLUENCE CAMPAIGN AND THE INFO HAS NOT CHANGED.
8. If you are planning on posting your video on a blog or other site outside YouTube, please provide a link to the site where it will be posted.
YOU CAN SKIP THIS QUESTION IF YOU HAVE PREVIOUSLY FILLED OUT THIS FORM FOR A DIFFERENT TECHFLUENCE CAMPAIGN AND THE INFO HAS NOT CHANGED.
9. Would you like to request compensation for this campaign?
Feel free to submit a Media Kit or Rate Card for us to keep on file to barry@techfluence.us at any time. Compensation of any type must be disclosed in your video and/or video description.
Clear selection
10. If you are requesting monetary compensation, please use the space below to provide more detail about pricing for specific types of content. (Optional)
NOTE - Including this info is optional, but the more information we have to share with our clients, the better..
11. Are you interested in an affiliate marketing program where you can earn revenue if a link provided by XXX for your video description is used to make a purchase?
Clear selection
12. Are you interested in having us set up sweepstakes to help promote your video?
If you agree, we will send you a link to a landing page for the sweepstakes that you can post in your video description. We'll select the winner and make sure our client ships the prize. All you have to do is promote it in your video and on social media. The landing pages are pretty cool too. Check out an example at http://getgeeked.tv/wd1-franklinreid/
Clear selection
13. Do you agree to allow XXX to review your video prior to posting? You retain the right to publish the video after it's reviewed regardless of their feedback. *
NOTE - The purpose of this is to give the client the chance to address any issues in the performance of the product that may be the result bugs or incorrect setup and/or use.
14. Do you agree to provide certain key metrics from YouTube Analytics four weeks after posting your video? *
Metrics we are interested in receiving include Average View Duration, Total Time Watched, Average Percentage Watched as well some key demographics such as gender distribution, age distribution, device viewed on, location, etc. These can generally be captured as screenshots and sent to us.
15. Do you agree to allow getgeeked Media / Techfluence and our client the right to promote and share your video? You maintain all legal rights to the content. *
16. Do you agree to notify us when the video is posted and attempt to send us links to your social media posts promoting your video?
Clear selection
17. For this program, we are asking for videos to be posted approximately XXX after receiving the product. Do you agree to this timeline? *
18. Please use the space below to share any additional information you would like us to have.
NOTE - If you have questions, please send them via email to barry@techfluence@getgeeked.us
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Slingshot Events LLC. Report Abuse
Google Forms