Brand Partner Application Thank you for your interest in becoming a Core Roots For Life Brand Partner! Please fill out the below form so we can get to know you and your audience. Brand Partner Application Name * First Last * Last Pronouns (optional) Email Address * Phone Number * Primary Mailing Address * Mailing Address Street Address Street Address Apartment/Building/Suite # Apartment/Building/Suite # City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Which of the following Core Roots Brand Partner programs are you interested in? Check all that apply. Affiliate link (earn a percentage of online sales made through your link) Sponsorship Promoter Product review Store sales referral program OtherOther Have you worked with CBD brands in the past? * Yes No Please list your social media accounts you'd like to utilize as a Brand Partner. * Facebook Instagram Twitter LinkedIn YouTube Pinterest Reddit TikTok Snapchat OtherOther Please use this space to list:-The URL of each social media account you'd like to use-Your current follower count on that platform-The engagement rate for each platformFor example: Instagram - 5k followers - 3% engagement rateThis information must be provided for your application to be considered. * Please share at least one accomplishment you've achieved as an influencer, e.g. increased sales, increased follower count, etc. If there are any applicable links, please share those, too! * If you were to categorize your social media presence, which category would you file it under? * Choose Lifestyle Health and fitness Dietary, e.g. vegan Animals Local interest/neighborhood Other If you were to categorize your social media presence, which category would you file it under? Do you have a blog? If so, please share the URL, approximate visitors/month, and a bit about your target audience. Why do you want to partner with Core Roots? What appeals to you about the brand? Why do you believe your audience will like the brand? * I live in a U.S. state where it is legal to possess and sell CBD. Submit If you are human, leave this field blank.