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CB Bowman LIVE! Social Media Influencers & Thought Leaders (Application Form)
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Email
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Your email
Name:
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Your answer
Email Address:
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Your answer
Mobile Number:
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Your answer
Website:
Your answer
Areas of Expertise (ie. Executive Coach, Events Planner, etc.):
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Your answer
Are you an influencer? If yes, on what social media platform? (Please select all that applies)
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LinkedIn
Clubhouse
Instagram
YouTube
Twitter
Required
Number of verifiable followers* on LinkedIn:
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Your answer
Your LinkedIn URL:
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Your answer
Number of verifiable followers* on Clubhouse:
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Your answer
Your Clubhouse URL:
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Your answer
Number of verifiable followers* on Instagram:
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Your answer
Your Instagram URL:
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Your answer
Number of verifiable followers* on YouTube:
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Your answer
Your YouTube URL:
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Your answer
Number of verifiable followers* on Twitter:
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Your answer
Your Twitter URL:
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Your answer
Do you have a podcast?
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Yes
No
If yes, what is the name of your podcast?
Your answer
Podcast Channels: (Please select all that applies.)
Spotify
Apple Podcast
iHeart Radio
Clubhouse
Other:
Do you have a live stream program?
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Yes
No
If yes, what is the name of your live stream program?
Your answer
Live Stream Channels: (Please select all that applies.)
LinkedIn
YouTube
Facebook
Other:
How did you hear/know about CB Bowman?
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MG100
Clubhouse
LinkedIn
Social Media
Other:
Required
Are you following CB Bowman on any of the channels below? (Please select all that applies.)
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LinkedIn
Clubhouse
Twitter
Facebook
YouTube
Instagram
Other:
Required
Are you a paid professional speaker and do you use an agency with a minimum annual income of 50K from speaking?
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Yes
No
If yes, what is the name of the agency?
Your answer
If no, how do clients find you?
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Your answer
Are you a sponsor for any brands?
Yes
No
Clear selection
If yes, which ones?
Your answer
How are you giving back to the community?
Your answer
Send me a copy of my responses.
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