Skip to main content
First Name
Last Name
Are you pregnant or parenting a child(ren)?

Social media handles + followers

Other social media that you use (LinkedIn, YouTube, SnapChat)
No file selected

What was your engagement rate on your top 3 posts?
(You can find this by taking the number of likes and comments you get on a post and dividing it by your number of followers).

Post one rate:
Post two rate:
Post three rate:

About you

Do you currently attend school?

School name:

Other activities you are involved in/group associations:

Have you ever created social media or marketing content for another brand? If so, please explain and provide examples of your work with them:

What is your favorite social media platform and why:

Why would you make a good social media influencer for pregnant and/or parenting young people?

Anything else we should know about you?

Please acknowledge the following statements: