Brand Ambassador Program Form

Brand Ambassador Program

Registration Form
We are recruitng Digital Influencers and Brand Ambassadors to promote the Tech is the New Trap Campaign by posting original social media content that shares their authentic experiences of what it takes to break into tech or work in the tech workforce as an under-represented professional. Digital Influencers will be responsible for sharing their insight to help our audience better succeed in their goal of landing a tech career. In addition to content generation, Brand Ambassadors will be responsible for attending events and physically representing the campaign in alignment with the purpose and mission of the organization.
Personal Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Demographic Information
Age*
Gender*

MaleFemaleNon-BinaryTrans
Cultural Ethnicity*

White/CaucasionBlack/African AmericanLatin or SpanishTwo or More RacesOther
Privacy Policy: The personal information submitted is collected for the sole purpose to centralize and aggregate data in support of the Tech is the New Trap Campaign and affilaite programs. We do not share your information with any third parties. Completion of the registration form is not an opt-in to open solicitation beyond the purpose defined.

Brand Ambassador Program