DE|RIVEMD AMBASSADOR PROGRAM

AMBASSADOR PROGRAM APPLICATION

PLEASE FILL OUT THE APPLICATION BELOW:

Basic Information

First Name

Email Address

Value is required

City, State

Last Name

Phone Number

Country

About You

Which best describes you? (Select all that apply)

Which best describes you?

I'm currently using DE|RIVE

I've used DE|RIVE before

I'm new to DE|RIVE

I'm a hair professional

I educate clients about hair health

Why you want to become a DE|RIVE Ambassador?

What are you hoping to achieve as a DE|RIVE Ambassador?

Why healthy hair and scalp wellness are important to you?

What makes your community unique?

Please provide your social media handles and follower counts for all platforms you actively use:

Instagram Handle

TikTok

Value is required

Youtube

Facebook

LinkedIn (Optional)

Blog/Website Address

Instagram Follower Count

TikTok Follower Count

Value is required

Youtube Subscriber Count

Facebook Follower Count

Pinterest Follower Count

LinkedIn Connection Amount (Optional)

Your Audience

Your Content

Have You Worked With Brands Before?

Yes

If Yes, please list the brands you've partnered with:

Please provide links for 2–3 examples of content that best represents your work:

Agreement

I agree to represent DE|RIVE professionally.

Yes

Value is required

I understand I must comply with FTC disclosure guidelines when promoting products.

Yes

Value is required

I agree not to make false or unsubstantiated product claims.

Yes

Value is required

By checking this box, I confirm have read and accept the Ambassador Terms & Conditions.

Yes

Value is required

Thank you for submitting your DE|RIVE Ambassador Application! We will review your application and get in touch within 48 business hours.