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Master the Media Affiliate Application
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Full Name
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Email
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Are you a health professional?
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Yes, I'm a registered dietitian
Yes, I'm a nutritionist
Yes, I'm a nurse
Yes, I'm a person trainer
Yes, I'm a doctor
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If you selected "other," please describe what you do.
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Please describe your business.
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How do you see your business being a good affiliate for the Master the Media Coaching Program?
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Notable social media/blog/newsletter statistics: Please share your following with us for any platform that you would share our e-course on.
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If selected as an affiliate, how would you promote and share the course with your audience?
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Who referred you? (if applicable)
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